Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Alisa Clark Illescas, MD

Individual provider Internal Medicine Physician · NPI 1972131159

Dr. Alisa Clark Illescas, MD is an Internal Medicine in Albuquerque, New Mexico. Graduated from University of New Mexico School of Medicine in 2020, 6 years ago. Practices with Hospitalist Medicine Physicians of Texas PLLC, a 701-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
6
Trained at
University of New Mexico School of Medicine
Licensed in
NM
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1100 Central Ave SE
Albuquerque, NM 87106-4930
Phone: (505) 724-6124
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4468 Avenida Del Sol Ne, Albuquerque, NM 87110-6179 — (505) 228-9736
  • Msc Internal Medicine 1 University Of New Mexico, Albuquerque, NM 87131-0001 — (505) 272-4661

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD2023-0490 (NM)

Record details

NPI number1972131159
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 1, 2020
Last updated in NPPESJuly 31, 2024
Certification dateJuly 31, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesHOSPITALIST
Medical schoolUNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Hospitalist Medicine Physicians Of Texas Pllc — 701 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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