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

Mark Iltis, DO

Individual provider Vascular Surgery Physician · NPI 1952789430

Mark Iltis, DO is a Vascular Surgery in Lexington, Kentucky. Graduated from Nova Southeastern College of Osteo Medicine in 2015, 11 years ago. Practices with United Surgical Associates PSC, a 10-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
11
Trained at
Nova Southeastern College of Osteo Medicine
Licensed in
KY
In the registry since
2015
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2350 Regency Rd Ste A
Lexington, KY 40503-2351
Phone: (859) 278-4960
Fax: (859) 278-0033
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 05248 (KY)

Record details

NPI number1952789430
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMay 15, 2015
Last updated in NPPESJune 2, 2023
Certification dateJune 2, 2023

Medicare enrollment

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

Medicare specialtyVASCULAR SURGERY
Medical schoolNOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated 2015 (11 years in practice)
Group practice United Surgical Associates Psc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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