DR. SIMONE CLAIRE ILIA DO
NPI 1942829361
Family Medicine in Memphis, TN

Q: What is Simone Ilia's NPI number?

The NPI number for Simone Ilia is 1942829361. It was assigned to this individual provider in the NPPES registry on April 15, 2020.

Q: What is Simone Ilia's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Simone Ilia was last updated on August 17, 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.

Active since April 15, 2020PECOS EnrolledAccepts Medicare Assignment

920 MADISON AVE, MEMPHIS, TN 38103(615) 396-6454 Get Directions Write a Review

NPPES record last updated: August 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 17, 2023, Apr 21, 2020, Apr 15, 2020 (3 updates tracked since 2020).

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About Dr. Simone Claire Ilia Do NPPES

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

DR. SIMONE CLAIRE ILIA DO (NPI 1942829361) is an individual family medicine provider in Memphis, Tennessee, licensed in Tennessee (5265) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Saint Thomas Rutherford Hospital, and is a graduate of Lincoln Mem Univ, Debusk Col Of Osteopathic Med (2020).

NPPES Registry Identity

NPI1942829361

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. SIMONE CLAIRE ILIACredential: DO

Location Address920 MADISON AVEMemphis, TN 38103-3438

Mailing Address1020 N Highland AveMurfreesboro, TN 37130-2494

Phone(615) 396-6454

Sole ProprietorNo

Medical School CMSLincoln Mem Univ, Debusk Col Of Osteopathic MedGraduated 2020

Enumeration DateApril 15, 2020

Last NPPES UpdateAugust 17, 20233 updates tracked since enumeration

NPPES CertifiedAugust 17, 2023

✔ NPI 1942829361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TN · 5265

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

920 MADISON AVE, Memphis, TN 38103

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Simone Claire Ilia Do 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 ID1355704974

PECOS Enrollment IDI20230830002313

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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

38 services33 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Saint Thomas Rutherford Hospital

Acute Care Hospitals · Murfreesboro, TN

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number440053

Location1700 Medical Center ParkwayMurfreesboro, TN 37129 · Rutherford County

Emergency services Birthing friendly

Ascension Saint Thomas Three Rivers

Critical Access Hospitals · Waverly, TN

OwnershipVoluntary non-profit - Private

CMS Certification Number441303

Location451 Highway 13 SouthWaverly, TN 37185 · Humphreys County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38103 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

DR. DANIEL WAKEFIELD M.D.

Radiology (Radiation Oncology)

920 MADISON AVE, SUITE 447
MEMPHIS, TN 38103

Shelby County (901) 448-5814

ROA SALAH

Student in an Organized Health Care Education/Training Program

920 MADISON AVE
MEMPHIS, TN 38103

Shelby County (901) 448-5500

LEAH BEASLEY

Student in an Organized Health Care Education/Training Program

920 MADISON AVE
MEMPHIS, TN 38103

Shelby County (901) 448-5500

HAYS TORGERSON CAPE

Student in an Organized Health Care Education/Training Program

920 MADISON AVE
MEMPHIS, TN 38103

Shelby County (901) 448-1767

DR. SAYRA AHMED KHANDEKAR M.D.

Student in an Organized Health Care Education/Training Program

920 MADISON AVE, SUITE C50
MEMPHIS, TN 38103

Shelby County (901) 448-5634

CHIRAAG CHANDRA GUPTA MD

Student in an Organized Health Care Education/Training Program

920 MADISON AVE
MEMPHIS, TN 38103

Shelby County (901) 448-0233

BROOKE NASH MCKNIGHT MD

Pediatrics

920 MADISON AVE
MEMPHIS, TN 38103

Shelby County (601) 815-8489

ANDREW CLERMONT

Student in an Organized Health Care Education/Training Program

920 MADISON AVE
MEMPHIS, TN 38103

Shelby County (901) 287-5584

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 Simone Ilia's NPI number?

The NPI number for Simone Ilia is 1942829361. It was assigned to this individual provider in the NPPES registry on April 15, 2020.

Where is Simone Ilia located?

Simone Ilia practices at 920 Madison Ave, Memphis, TN 38103. The listed phone number is (615) 396-6454.

What is Simone Ilia's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Simone Ilia enrolled in Medicare?

Yes. Simone Ilia 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.

What insurance does Simone Ilia accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Simone Ilia 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 Simone Ilia affiliated with any hospitals?

According to CMS data, Simone Ilia is affiliated with Saint Thomas Rutherford Hospital and Ascension Saint Thomas Three Rivers.

When was this NPI record last updated?

The NPPES record for Simone Ilia was last updated on August 17, 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.