ADVANCED HEART AND VASCULAR CENTER
NPI 1144761404
Internal Medicine - Cardiovascular Disease in Dallas, TX
About Advanced Heart And Vascular Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADVANCED HEART AND VASCULAR CENTER (NPI 1144761404) is a healthcare organization registered as a cardiovascular disease in Dallas, Texas and active in the NPI registry since March 2017. The organization lists Annika Sandra Illum, Cardiologist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Advanced Heart And Vascular Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Advanced Heart And Vascular Center, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Sandra Illum MD PLLC's NPI number?
The NPI number for Sandra Illum MD PLLC is 1144761404. It was assigned to this organization in the NPPES registry on March 20, 2017. The provider is doing business as Advanced Heart And Vascular Center.
Where is Sandra Illum MD PLLC located?
Sandra Illum MD PLLC is located at 17101 Preston Rd Ste 190S, Dallas, TX 75248. The listed phone number is (214) 500-1689.
What is Sandra Illum MD PLLC's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Sandra Illum MD PLLC enrolled in Medicare?
Yes. Sandra Illum MD PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Sandra Illum MD PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Cardiovascular Disease (Cardiology)) reassigns their Medicare billing to Sandra Illum MD PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Sandra Illum MD PLLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Advanced Heart And Vascular Center · NPI 1144761404
Cardiovascular Disease organization in Dallas, Texas. Organization record, active in the CMS NPPES registry since March 20, 2017.
## Identity
- **NPI:** 1144761404 (Entity type: Organization)
- **Enumerated:** March 20, 2017
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **Legal business name:** Sandra Illum Md Pllc
- **Organization subpart:** No
- **Authorized official:** Annika Illum, CARDIOLOGIST
## Practice location
- **Address:** 17101 PRESTON RD STE 190S, Dallas, TX 75248-1331
- **Phone:** (214) 500-1689
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Cardiovascular Disease (Cardiology)) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2022
- **Other identifiers:** Other 00U3Z7 (TX)
---
Source: [NPI Profile](https://npiprofile.com/npi/1144761404) · Data from the CMS NPPES public registry.