DR. THOMAS LEMUEL ILUSTRISIMO DO
NPI 1184280497
Internal Medicine in Henderson, NV

Q: What is Thomas Ilustrisimo's NPI number?

The NPI number for Thomas Ilustrisimo is 1184280497. It was assigned to this individual provider in the NPPES registry on May 13, 2019.

Q: What is Thomas Ilustrisimo's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since May 13, 2019PECOS EnrolledAccepts Medicare Assignment

58.85/100

CMS Quality Rating

10624 S EASTERN AVE # A-955, HENDERSON, NV 89052(702) 407-7700(027) 407-7016 Get Directions Write a Review

NPPES record last updated: October 18, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 18, 2022, Sep 10, 2021, May 13, 2019 (3 updates tracked since 2019).

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About Dr. Thomas Lemuel Ilustrisimo Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THOMAS LEMUEL ILUSTRISIMO DO (NPI 1184280497) is an individual internal medicine provider in Henderson, Nevada, licensed in Nevada (DO3016) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Valley Hospital Medical Center, and is a graduate of Liberty Univ College Of Osteopathic Medicine (2019).

NPPES Registry Identity

NPI1184280497

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. THOMAS LEMUEL ILUSTRISIMOCredential: DO

Location Address10624 S EASTERN AVE # A-955Henderson, NV 89052-2982

Mailing Address10624 S Eastern Ave # A-955Henderson, NV 89052-2982 · (702) 407-7700 · Fax (027) 407-7016

Phone(702) 407-7700

Fax(027) 407-7016

Sole ProprietorYes

Medical School CMSLiberty Univ College Of Osteopathic MedicineGraduated 2019

Enumeration DateMay 13, 2019

Last NPPES UpdateOctober 18, 20223 updates tracked since enumeration

NPPES CertifiedOctober 17, 2022

✔ NPI 1184280497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in NV · DO3016✔ Licensed in NV · SL1459

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

10624 S EASTERN AVE # A-955, Henderson, NV 89052

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Thomas Lemuel Ilustrisimo Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385040492

PECOS Enrollment IDI20220524003093

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Thomas Ilustrisimo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Platinum Hospitalists LLP

Same address

Hospitalist

10624 S EASTERN AVE STE A-955
Henderson, NV 89052

Reassigned Medicare billing, Nevada enrollment
319 clinicians in this Medicare group

NPI 1861627242 (702) 380-1888

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

1,017 services482 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

486 services199 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

378 services370 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

333 services322 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

277 services265 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

201 services195 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Valley Hospital Medical Center

Acute Care Hospitals · Las Vegas, NV

2/5 CMS rating

OwnershipProprietary

CMS Certification Number290021

Location620 Shadow LaneLas Vegas, NV 89106 · Clark County

Emergency services

Spring Valley Hospital Medical Center

Acute Care Hospitals · Las Vegas, NV

2/5 CMS rating

OwnershipProprietary

CMS Certification Number290046

Location5400 South Rainbow BlvdLas Vegas, NV 89118 · Clark County

Emergency services Birthing friendly

Henderson Hospital

Acute Care Hospitals · Henderson, NV

3/5 CMS rating

OwnershipProprietary

CMS Certification Number290057

Location1050 West Galleria DriveHenderson, NV 89011 · Clark County

Emergency services Birthing friendly

Boulder City Hospital

Critical Access Hospitals · Boulder City, NV

OwnershipVoluntary non-profit - Private

CMS Certification Number291309

Location901 Adams BlvdBoulder City, NV 89005 · Clark County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89052 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$131.25 typical visit price

range $57.07 – $173.24

Typical copayment $32.81 (range $14.26 – $43.31)

Most-billed visit code 99204

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

58.85/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

39.4

Improvement Activities

Cost

49.45

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers11 claims11 services$14.97 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers14 claims14 services$67.24 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAREN CARPIO ALOG FNP

Nurse Practitioner (Primary Care)