ILLUMINATE MEDICAL GROUP PLLC
NPI 1679036891
Family Medicine - Adult Medicine in Lantana, TX

Q: What is Illuminate Medical Group PLLC's NPI number?

The NPI number for Illuminate Medical Group PLLC is 1679036891. It was assigned to this organization in the NPPES registry on April 14, 2019.

Q: What is Illuminate Medical Group PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Active since April 14, 2019

1028 TRUMAN RD, LANTANA, TX 76226(940) 220-9996 Get Directions Write a Review

NPPES record last updated: February 20, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Illuminate Medical Group Pllc NPPES

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

ILLUMINATE MEDICAL GROUP PLLC (NPI 1679036891) is a healthcare organization registered as an adult medicine in Lantana, Texas and active in the NPI registry since April 2019. The organization lists Matthew B Roberson, Owner / Ceo, as its authorized official.

NPPES Registry Identity

NPI1679036891

Entity TypeOrganization

Primary Taxonomy207QA0505X

Legal Business NameILLUMINATE MEDICAL GROUP PLLC

Location Address1028 TRUMAN RDLantana, TX 76226-4395

Mailing Address1028 Truman RdLantana, TX 76226-4395 · (940) 220-9996

Phone(940) 220-9996

Organization SubpartNo

Authorized OfficialMatthew B RobersonOwner / Ceo · (940) 220-9996

Enumeration DateApril 14, 2019

Last NPPES UpdateFebruary 20, 2026

NPPES CertifiedFebruary 20, 2026

✔ NPI 1679036891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0505X

Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

1028 TRUMAN RD, Lantana, TX 76226

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Illuminate Medical Group PLLC's NPI number?

The NPI number for Illuminate Medical Group PLLC is 1679036891. It was assigned to this organization in the NPPES registry on April 14, 2019.

Where is Illuminate Medical Group PLLC located?

Illuminate Medical Group PLLC is located at 1028 Truman Rd, Lantana, TX 76226. The listed phone number is (940) 220-9996.

What is Illuminate Medical Group PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

When was this NPI record last updated?

The NPPES record for Illuminate Medical Group PLLC was last updated on February 20, 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.