DR. OLTA ILIA MD
NPI 1215565510
Internal Medicine in Brockton, MA

Active since March 31, 2020PECOS EnrolledAccepts Medicare Assignment
235 N PEARL ST, BROCKTON, MA 02301(508) 427-3000 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 6, 2025, Mar 10, 2025, Aug 30, 2023 and 1 more (4 updates tracked since 2020).

About Dr. Olta Ilia Md NPPES

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

DR. OLTA ILIA MD (NPI 1215565510) is an individual internal medicine provider in Brockton, Massachusetts, licensed in Massachusetts (1013846) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with St Elizabeth's Medical Center, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1215565510
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. OLTA ILIACredential: MD
Location Address235 N PEARL STBrockton, MA 02301-1794
Mailing Address960 Massachusetts Ave, Fl 2Boston, MA 02118-2690
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateMarch 31, 2020
Last NPPES UpdateMay 6, 20254 updates tracked since enumeration
NPPES CertifiedMay 6, 2025
✔ NPI 1215565510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MA · 1013846
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.
235 N PEARL ST, Brockton, MA 02301

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. Olta Ilia Md 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 ID7911358007
PECOS Enrollment IDI20240112003848
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 Reassignments

4

Medicare enrollment records show Olta Ilia reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
1 BOSTON MEDICAL CENTER PLACE
Boston, MA 02118
  • Reassigned Medicare billing, Massachusetts enrollment
  • 716 clinicians in this Medicare group
Specialist
9 GALEN ST
Watertown, MA 02472
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,103 clinicians in this Medicare group
Hospitalist
115 LINCOLN ST
Framingham, MA 01702
  • Reassigned Medicare billing, Massachusetts enrollment
  • 156 clinicians in this Medicare group
Hospitalist
157 UNION ST
Marlborough, MA 01752
  • Reassigned Medicare billing, Massachusetts enrollment
  • 88 clinicians in this Medicare group

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 5

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 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.
537 services232 patients
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.
178 services97 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.
147 services141 patients
Initial hospital care with same-day admission and discharge with straightforward or low level of medical decision making, per day, if using time, at least 45 minutes 99234
Hospital observation or inpatient care is a brief medical service where you're admitted and discharged on the same day. This typically lasts about 40 minutes and is for low severity issues. It involves monitoring your condition, administering necessary treatment, and ensuring your well-being before discharge.
91 services88 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
27 services11 patients

Hospital Affiliations CMS Care Compare 2

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

St Elizabeth's Medical Center

Acute Care Hospitals · Brighton, MA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number220036
Location736 Cambridge StreetBrighton, MA 02135 · Suffolk County
Emergency services Birthing friendly

Good Samaritan Medical Center

Acute Care Hospitals · Brockton, MA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number220111
Location235 North Pearl StreetBrockton, MA 02301 · Plymouth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02301 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

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.

Emergency Medicine
235 N PEARL ST
BROCKTON, MA 02301
Psychiatric Unit
235 N PEARL ST
BROCKTON, MA 02301
Student in an Organized Health Care Education/Training Program
235 N PEARL ST
BROCKTON, MA 02301
Internal Medicine
235 N PEARL ST
BROCKTON, MA 02301
Physician Assistant
235 N PEARL ST
BROCKTON, MA 02301
Emergency Medicine
235 N PEARL ST
BROCKTON, MA 02301
Dietitian, Registered
235 N PEARL ST
BROCKTON, MA 02301
Physician Assistant (Surgical)
235 N PEARL ST
BROCKTON, MA 02301

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 Olta Ilia's NPI number?

The NPI number for Olta Ilia is 1215565510. It was assigned to this individual provider in the NPPES registry on March 31, 2020.

Where is Olta Ilia located?

Olta Ilia practices at 235 N Pearl St, Brockton, MA 02301. The listed phone number is (508) 427-3000.

What is Olta Ilia's specialty?

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

Is Olta Ilia enrolled in Medicare?

Yes. Olta Ilia is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Olta Ilia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Olta Ilia reassigns Medicare benefits to 4 organizations: Bmc Affiliated Physicians, Inc. (Boston, MA), Steward Medical Group, Inc (Watertown, MA), Hospitalist Physicians Of Massachusetts PC (Framingham, MA) and Marlborough Hospitalist Group, PLLC (Marlborough, MA). Each 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 Olta Ilia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Olta Ilia affiliated with any hospitals?

According to CMS data, Olta Ilia is affiliated with St Elizabeth's Medical Center and Good Samaritan Medical Center.

When was this NPI record last updated?

The NPPES record for Olta Ilia was last updated on May 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.