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ILIANA HARRYSSON M.D.
NPI 1790128163
Pediatrics in San Jose, CA

Active since April 16, 2013PECOS Enrolled
750 S BASCOM AVE, SAN JOSE, CA 95128(408) 885-5410 Get Directions Write a Review

NPPES record last updated: October 11, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 11, 2023, Feb 2, 2017, Dec 15, 2016 (3 updates tracked since 2016).

About Iliana Harrysson M.d. NPPES

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

ILIANA HARRYSSON M.D. (NPI 1790128163) is an individual pediatrics provider in San Jose, California, licensed in California (A131905) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790128163
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameILIANA HARRYSSONCredential: M.D.
Location Address750 S BASCOM AVESan Jose, CA 95128-2603
Mailing Address750 S Bascom AveSan Jose, CA 95128-2603 · (301) 514-7311
Phone(408) 885-5410
Sole ProprietorNo
Enumeration DateApril 16, 2013
Last NPPES UpdateOctober 11, 20233 updates tracked since enumeration
NPPES CertifiedOctober 11, 2023
✔ NPI 1790128163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A131905
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
750 S BASCOM AVE, San Jose, CA 95128
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Iliana Harrysson M.d. 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 95128 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
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
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.

EVANGELIA LEA LAZARIS MD
Obstetrics & Gynecology (Gynecology)
750 S BASCOM AVE
SAN JOSE, CA 95128
Santa Clara County (408) 885-5000
MARLENE DOLORES AKIN CDE
Registered Nurse (Nutrition Support)
750 S BASCOM AVE, DIABETES EDUCATION
SAN JOSE, CA 95128
Santa Clara County (408) 885-5000
COUNTY OF SANTA CLARA
Clinic/Center (Primary Care)
750 S BASCOM AVE, MEDICAL MOBILE UNIT-SLS
SAN JOSE, CA 95128
Santa Clara County (408) 885-5000
DR. ASHLEY LYNN DRAGOMAN MD
Pediatrics
750 S BASCOM AVE, STE 210
SAN JOSE, CA 95128
Santa Clara County (408) 885-5000
COUNTY OF SANTA CLARA
Pharmacy
750 S BASCOM AVE
SAN JOSE, CA 95128
Santa Clara County (408) 885-2320
COUNTY OF SANTA CLARA
Clinic/Center (Federally Qualified Health Center (FQHC))
750 S BASCOM AVE
SAN JOSE, CA 95128
Santa Clara County (408) 885-5000
MRS. MARIE EUSALIND TOTTOC RPH
Pharmacist
750 S BASCOM AVE, PHARMACY, SUITE 120
SAN JOSE, CA 95128
Santa Clara County (408) 885-2320
CATHERINE FRELINGER MD
Pediatrics (Developmental - Behavioral Pediatrics)
750 S BASCOM AVE
SAN JOSE, CA 95128
Santa Clara County (408) 885-7709

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 Iliana Harrysson's NPI number?

The NPI number for Iliana Harrysson is 1790128163. It was assigned to this individual provider in the NPPES registry on April 16, 2013.

Where is Iliana Harrysson located?

Iliana Harrysson practices at 750 S Bascom Ave, San Jose, CA 95128. The listed phone number is (408) 885-5410.

What is Iliana Harrysson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Iliana Harrysson enrolled in Medicare?

Yes. Iliana Harrysson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Iliana Harrysson was last updated on October 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.