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

Ilia E. Calluzzo, MD

Individual provider Gynecology Physician · NPI 1073741351

Ilia E. Calluzzo, MD is an Obstetrics/Gynecology in Bayside, New York. Qualified in 2009, 17 years ago. Practices with Square Care Medical Group LLP, a 72-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
17
Licensed in
NY
In the registry since
2009
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

3629 Bell Blvd
Bayside, NY 11361-2056
Phone: (718) 224-5800
Show map & directions

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

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 259615 (NY)
Gynecology Physician Taxonomy 207VG0400X · Licence 259615 (NY)
Obstetrics Physician Taxonomy 207VX0000X · Licence 259615 (NY)

Record details

NPI number1073741351
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 25, 2009
Last updated in NPPESDecember 3, 2019
Mailing address900 Merchants Concourse Ste 216, Westbury, NY 11590-5114

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Square Care Medical Group Llp — 72 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bayside