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DR. NIKHIL RAO ILLA MD
NPI 1316688427
Emergency Medicine in Philadelphia, PA

Active since April 05, 2022PECOS Enrolled
3400 SPRUCE STREET, GROUND SILVERSTEIN, PHILADELPHIA, PA 19104(215) 662-6305(215) 662-3953 Get Directions Write a Review

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

Record update history: May 6, 2026, Nov 12, 2024, Aug 16, 2024 and 2 more (5 updates tracked since 2022).

About Dr. Nikhil Rao Illa Md NPPES

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

DR. NIKHIL RAO ILLA MD (NPI 1316688427) is an individual emergency medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD485966) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Johnston Health, and is a graduate of Tufts University School Of Medicine (2022).

NPPES Registry Identity

NPI1316688427
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. NIKHIL RAO ILLACredential: MD
Location Address3400 SPRUCE STREET, GROUND SILVERSTEINPhiladelphia, PA 19104
Mailing Address3400 Spruce StPhiladelphia, PA 19104-4238 · (215) 662-6305 · Fax (215) 662-3953
Phone(215) 662-6305
Fax(215) 662-3953
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 2022
Enumeration DateApril 5, 2022
Last NPPES UpdateMay 6, 20265 updates tracked since enumeration
NPPES CertifiedMay 6, 2026
✔ NPI 1316688427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in PA · MD485966
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedGeneral PracticeTaxonomy 208D00000X · License MD485966 (PA)
3400 SPRUCE STREET, Philadelphia, PA 19104
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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 (PECOS)

Dr. Nikhil Rao Illa Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113467499
PECOS Enrollment IDI20260522001691
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 Nikhil Illa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wake Emergency Physicians PA
310 mi
Emergency Medicine
2460 CURTIS ELLIS DR
Rocky Mount, NC 27804
  • Reassigned Medicare billing, North Carolina enrollment
  • 182 clinicians in this Medicare group
NPI 1033770292 (252) 962-8000

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

Hospital Affiliations CMS Care Compare

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

Johnston Health

Acute Care Hospitals · Smithfield, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340090
Location509 Bright Leaf BlvdSmithfield, NC 27577 · Johnston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

SARAH KUMAR M.D.
Anesthesiology (Critical Care Medicine)
3400 SPRUCE STREET
PHILADELPHIA, PA 19104
Philadelphia County (215) 349-8310
RYAN MCCLINTOCK MD
Radiology (Diagnostic Radiology)
3400 SPRUCE STREET
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3000
ADRIAN W ONG MD
Surgery (Surgical Critical Care)
3400 SPRUCE STREET, 2 DULLES
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-7320
MATHEW N BESHARA MD
Obstetrics & Gynecology
3400 SPRUCE STREET, 5 PENN TOWER
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-6035
JILL E LANGER MD
Radiology (Diagnostic Radiology)
3400 SPRUCE STREET, GROUND FLOOR DULLES
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-7012
BERNADETTE C WHEELER MD
Obstetrics & Gynecology
3400 SPRUCE STREET, 1 WEST GATES
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2730
EDWARD T DICKINSON MD
Emergency Medicine
3400 SPRUCE STREET, GROUND SILVERSTEIN BLDG
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-6698
WENDY RACHEL GALPERN MD, PHD
Psychiatry & Neurology (Neurology)
3400 SPRUCE STREET
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2219

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 Nikhil Illa's NPI number?

The NPI number for Nikhil Illa is 1316688427. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Nikhil Illa located?

Nikhil Illa practices at 3400 Spruce Street Ground Silverstein, Philadelphia, PA 19104. The listed phone number is (215) 662-6305.

What is Nikhil Illa's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Nikhil Illa enrolled in Medicare?

Yes. Nikhil Illa is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nikhil Illa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nikhil Illa reassigns Medicare benefits to Wake Emergency Physicians PA (Rocky Mount, NC). The 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 Nikhil Illa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Nikhil Illa affiliated with any hospitals?

According to CMS data, Nikhil Illa is affiliated with Johnston Health.

When was this NPI record last updated?

The NPPES record for Nikhil Illa was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.