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

Israel Willis

Individual provider General Practice Physician · NPI 1932448701

Israel Willis is a General Practice in Bronx, New York. Graduated from Wayne State University School of Medicine in 2001, 25 years ago. Practices with Prominis Medical Services PC, a 42-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
25
Trained at
Wayne State University School of Medicine
Licensed in
NY
In the registry since
2013
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Practice location Address checks out

2015 Grand Concourse
Bronx, NY 10453
Phone: (718) 299-7295
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 954 Lexington Ave, New York, NY 10021-5055 — (619) 756-0592
  • 954 Lexington Ave, New York, NY 10021-5055 — (619) 756-0592

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 268360-1 (NY)

Record details

NPI number1932448701
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 13, 2013
Last updated in NPPESNovember 20, 2018
Mailing address3198 Grand Concourse, Bronx, NY 10458-1000

Medicare enrollment

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

Medicare specialtyGENERAL PRACTICE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2001 (25 years in practice)
Group practice Prominis Medical Services Pc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Bronx