IndividualActive
Fernando Illescas, M.D.
NPI 1417933961 · Vascular & Interventional Radiology Physician · Bloomfield, CT
Provider details
- NPI number
- 1417933961
- Entity type
- Individual
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 031371 (CT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(95/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
701 Cottage Grove Rd Ste E110
Bloomfield, CT 06002-3085
Phone: (860) 265-2529
Fax: (860) 463-9562
Street-level locationGet directions
Mailing address
701 Cottage Grove Rd Ste E110
Bloomfield, CT 06002-3085
Additional practice locations (1)
- 113 Elm St Ste 301Enfield, CT 06082-3739Phone: (860) 265-2529Fax: (860) 265-3551
Registry dates
- Enumerated
- 2005-12-16
- Last updated
- 2018-05-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.