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CHARLES ALFRED ILIYA M.D.
NPI 1730204298
Surgery in Dallas, TX

Active since March 20, 2007PECOS EnrolledAccepts Medicare Assignment
75.27/100
CMS Quality Rating
8230 WALNUT HILL LN STE 320, DALLAS, TX 75231(214) 369-5432(214) 369-5591 Get Directions Write a Review

NPPES record last updated: September 30, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 30, 2021, Aug 20, 2016 (2 updates tracked since 2016).

About Charles Alfred Iliya M.d. NPPES

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

CHARLES ALFRED ILIYA M.D. (NPI 1730204298) is an individual surgery provider in Dallas, Texas, licensed in Texas (G5202) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Texas Health Presbyterian Hospital Dallas, and is a graduate of University Of Texas Southwestern Medical School At Dallas (1983).

NPPES Registry Identity

NPI1730204298
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameCHARLES ALFRED ILIYACredential: M.D.
Location Address8230 WALNUT HILL LN STE 320Dallas, TX 75231-4481
Mailing Address8230 Walnut Hill Ln Ste 320Dallas, TX 75231-4481 · (214) 369-5432 · Fax (214) 369-5591
Phone(214) 369-5432
Fax(214) 369-5591
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1983
Enumeration DateMarch 20, 2007
Last NPPES UpdateSeptember 30, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2021
✔ NPI 1730204298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in TX · G5202
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
8230 WALNUT HILL LN STE 320, Dallas, TX 75231
Open in Google Maps ↗

Other Identifiers 1

Medicaid114061803TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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

Charles Alfred Iliya M.d. 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 ID1759395411
PECOS Enrollment IDI20120131000147
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 Charles Iliya reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Texas Health Physicians Group
0.1 mi
Internal Medicine
8440 WALNUT HILL LN STE 800
Dallas, TX 75231
  • Reassigned Medicare billing, Texas enrollment
  • 1,639 clinicians in this Medicare group
NPI 1053767897 (214) 860-6300

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 9

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.
125 services74 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.
61 services39 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
51 services27 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.
49 services49 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
45 services40 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
44 services42 patients

Hospital Affiliations CMS Care Compare

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

Texas Health Presbyterian Hospital Dallas

Acute Care Hospitals · Dallas, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450462
Location8200 Walnut Hill LaneDallas, TX 75231 · Dallas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75231 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
Most-billed visit code 99213
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.

75.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.07
Promoting Interoperability100
Improvement Activities40
Cost49.5

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.

JORDAN STELLATO PA-C
Physician Assistant (Surgical)
8230 WALNUT HILL LN STE 320
DALLAS, TX 75231
Dallas County (817) 247-7284
MRS. LINDSEY GAYLE MELENDEZ FNP
Nurse Practitioner (Acute Care)
8230 WALNUT HILL LN STE 320
DALLAS, TX 75231
Dallas County (214) 369-5432
COURTNEY CARTIER D.O
Surgery
8230 WALNUT HILL LN STE 320
DALLAS, TX 75231
Dallas County (214) 369-5432
BRIAN MATTHEW TIBBS MD
Surgery
8230 WALNUT HILL LN STE 320
DALLAS, TX 75231
Dallas County (214) 369-5432
JAMES M SANDERS MD
Surgery
8230 WALNUT HILL LN STE 320
DALLAS, TX 75231
Dallas County (214) 369-5432
GEORGE THOMAS SHIRES III MD
Surgery
8230 WALNUT HILL LN STE 320
DALLAS, TX 75231
Dallas County (214) 369-5432
MOHAMMAD AMIN FROTAN MD
Surgery (Surgical Critical Care)
8230 WALNUT HILL LN STE 320
DALLAS, TX 75231
Dallas County (214) 369-5432
JONATHAN LEX URANGA
Physician Assistant
8230 WALNUT HILL LN STE 320
DALLAS, TX 75231
Dallas County (214) 369-5432

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 Charles Iliya's NPI number?

The NPI number for Charles Iliya is 1730204298. It was assigned to this individual provider in the NPPES registry on March 20, 2007.

Where is Charles Iliya located?

Charles Iliya practices at 8230 Walnut Hill Ln Ste 320, Dallas, TX 75231. The listed phone number is (214) 369-5432.

What is Charles Iliya's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Charles Iliya enrolled in Medicare?

Yes. Charles Iliya 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 organization bills Medicare for Charles Iliya's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Iliya reassigns Medicare benefits to Texas Health Physicians Group (Dallas, TX). 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 Charles Iliya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charles Iliya accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Charles Iliya as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Charles Iliya affiliated with any hospitals?

According to CMS data, Charles Iliya is affiliated with Texas Health Presbyterian Hospital Dallas.

When was this NPI record last updated?

The NPPES record for Charles Iliya was last updated on September 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.