P Praxis·MD
● Active Type 2 · Organization

Sandra Illum MD Pllc

Internal Medicine·Dallas, TX· NPI 1144761404 · Enumerated 2017 · 9 years on NPI
Sandra Illum MD Pllc is 1 of 2301 internal medicine organizations in Texas.
NPI age
9 years
Enumerated 2017-03-20
Primary specialty
Internal Medicine
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Illum
Cardiologist
Last NPPES update
2022-07-21
Source: monthly bulk 2026-05

How this organization compares

Across 2301 active internal medicine providers in Texas.

NPI age
9 years
↓ 10 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 37% of peers with subspecialties

NPI lifetime · 2017 → 2026

2017-03Enumerated in NPPES
2017 2026

Where they practice

Primary practice location
17101 Preston Rd Ste 190s
Dallas, TX 752481331
📞 2145001689
Mailing address
17101 Preston Rd
Dallas, TX 752481331
📞 2143777576

Authorized official

Annika Sandra Illum, MD
Cardiologist
📞 2143777576

Specialties

  • Internal Medicine Primary
    An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
    TX license #P1086 taxonomy 207RC0000X
  • Clinic/Center
    An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or...
    TX license #P1086 taxonomy 261QM2500X

Identifiers

TypeValueNotes
01 (TX) 00U3Z7 BCBS

Other names on file (2)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Advanced Heart and Vascular Center
    Type code 3 recorded 2017-06-13
  • Advanced Heart and Vascular Center
    Type code 3 recorded 2017-06-06

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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