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

Fernando F. Illescas, MD

Individual provider Vascular & Interventional Radiology Physician · NPI 1417933961

Fernando F. Illescas, MD is a Diagnostic Radiology in Bloomfield, Connecticut. Qualified in 1979, 47 years ago. Practices with Center for Vein Restoration MA LLC, a 6-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Connecticut.

Years since qualifying
47
Licensed in
CT
In the registry since
2005
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

701 Cottage Grove Rd Ste E110
Bloomfield, CT 06002-3085
Phone: (860) 265-2529
Fax: (860) 463-9562
Show map & directions

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

Additional practice locations (1)

  • 113 Elm St Ste 301, Enfield, CT 06082-3739 — (860) 265-2529

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence 031371 (CT)

Record details

NPI number1417933961
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 16, 2005
Last updated in NPPESMay 3, 2018

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 1979 (47 years in practice)
Group practice Center For Vein Restoration Ma Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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