Mary Ileso, DO
NPI 1073171641 · Family Medicine Physician · Jbsa Randolph, TX
Enrolled with Medicare as Order and Referring Only - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mary Ileso, DO is a Family Medicine Physician provider in Jbsa Randolph, TX (NPI 1073171641).
Provider details
- NPI number
- 1073171641
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- License
- 0000000000 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-05-30
- Last updated
- 2023-08-24
- Certified
- 2023-08-24
Frequently asked questions
- What is Mary Ileso's NPI number?
- Mary Ileso's National Provider Identifier (NPI) is 1073171641, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Ileso's specialty?
- Mary Ileso is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Mary Ileso located?
- Mary Ileso's practice location on file with NPPES is 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150-4800.
- What is Mary Ileso's phone number?
- The practice phone number listed in the NPPES registry for Mary Ileso is (210) 652-4127.
- Does Mary Ileso accept Medicare?
- Mary Ileso is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mary Ileso's NPI active?
- Yes — Mary Ileso's NPI (1073171641) is active in the NPPES registry as of the last update on 2023-08-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.