DR. ILAN VAVILIN MD
NPI 1578022315
Internal Medicine in Minneapolis, MN

Q: What is Ilan Vavilin's NPI number?

The NPI number for Ilan Vavilin is 1578022315. It was assigned to this individual provider in the NPPES registry on March 19, 2019.

Q: What is Ilan Vavilin's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ilan Vavilin was last updated on March 25, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 19, 2019PECOS Enrolled

420 DELAWARE ST SE, MINNEAPOLIS, MN 55455(612) 625-5454 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 25, 2026, Jun 1, 2023, Aug 16, 2022 and 1 more (4 updates tracked since 2019).

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About Dr. Ilan Vavilin Md NPPES

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

DR. ILAN VAVILIN MD (NPI 1578022315) is an individual internal medicine provider in Minneapolis, Minnesota, licensed in Minnesota (81522) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Falls Church.

NPPES Registry Identity

NPI1578022315

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. ILAN VAVILINCredential: MD

Location Address420 DELAWARE ST SEMinneapolis, MN 55455-0341

Mailing Address420 Delaware St Se Dept MMinneapolis, MN 55455-0386 · (612) 625-5454

Phone(612) 625-5454

Sole ProprietorNo

Enumeration DateMarch 19, 2019

Last NPPES UpdateMarch 25, 20264 updates tracked since enumeration

NPPES CertifiedMarch 25, 2026

✔ NPI 1578022315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in MN · 81522✔ Licensed in VA · 0101270941✔ Licensed in DC · MD210002590

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.

420 DELAWARE ST SE, Minneapolis, MN 55455

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Secondary Practice Location 1

Location 13300 Gallows RdFalls Church, VA 22042-3307 · Phone (703) 776-3582

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ilan Vavilin Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55455 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

$127.61 typical visit price

range $56.00 – $168.28

Typical copayment $31.90 (range $14.00 – $42.07)

Most-billed visit code 99204

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.