Sandra Illum MD PLLC
NPI 1144761404 · Cardiovascular Disease Physician · Dallas, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sandra Illum MD PLLC is a Cardiovascular Disease Physician organization in Dallas, TX (NPI 1144761404).
Provider details
- NPI number
- 1144761404
- Entity type
- Organization
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Annika Illum, Cardiologist(214) 377-7576
- License
- P1086 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
Other names (DBA / former)
- Doing business as
- Advanced Heart and Vascular Center
- Doing business as
- Advanced Heart and Vascular Center
Registry dates
- Enumerated
- 2017-03-20
- Last updated
- 2022-07-21
Frequently asked questions
- What is Sandra Illum MD PLLC's NPI number?
- Sandra Illum MD PLLC's National Provider Identifier (NPI) is 1144761404, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sandra Illum MD PLLC?
- Sandra Illum MD PLLC is classified in the NPPES registry as Cardiovascular Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Sandra Illum MD PLLC located?
- Sandra Illum MD PLLC's practice location on file with NPPES is 17101 Preston Rd Ste 190s, Dallas, TX 75248-1331.
- What is Sandra Illum MD PLLC's phone number?
- The practice phone number listed in the NPPES registry for Sandra Illum MD PLLC is (214) 500-1689.
- Does Sandra Illum MD PLLC accept Medicare?
- Sandra Illum MD 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 Sandra Illum MD PLLC?
- The authorized official listed on Sandra Illum MD PLLC's NPPES record is Annika Illum, Cardiologist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sandra Illum MD PLLC's NPI active?
- Yes — Sandra Illum MD PLLC's NPI (1144761404) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.