Illume Anesthesia PLLC
NPI 1114625902 · Certified Registered Nurse Anesthetist · Frisco, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Illume Anesthesia PLLC is a Certified Registered Nurse Anesthetist organization in Frisco, TX (NPI 1114625902).
Provider details
- NPI number
- 1114625902
- Entity type
- Organization
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Momin Zafarullah, Owner/Auth Official(210) 862-4199
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
- 2023-02-21
- Last updated
- 2026-04-06
- Certified
- 2026-04-06
Frequently asked questions
- What is Illume Anesthesia PLLC's NPI number?
- Illume Anesthesia PLLC's National Provider Identifier (NPI) is 1114625902, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Illume Anesthesia PLLC?
- Illume Anesthesia PLLC is classified in the NPPES registry as Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Illume Anesthesia PLLC located?
- Illume Anesthesia PLLC's practice location on file with NPPES is 3140 Legacy Dr Ste 210, Frisco, TX 75034-7961.
- What is Illume Anesthesia PLLC's phone number?
- The practice phone number listed in the NPPES registry for Illume Anesthesia PLLC is (469) 234-8888.
- Does Illume Anesthesia PLLC accept Medicare?
- Illume Anesthesia PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Illume Anesthesia PLLC?
- The authorized official listed on Illume Anesthesia PLLC's NPPES record is Momin Zafarullah, Owner/Auth Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Illume Anesthesia PLLC's NPI active?
- Yes — Illume Anesthesia PLLC's NPI (1114625902) is active in the NPPES registry as of the last update on 2026-04-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.