MS. ELIZABETH ANN ILIESCU OUTLAW (PA-C) – Medical Physician Assistant, NPI 1184076333

MS. ELIZABETH ANN ILIESCU OUTLAW (PA-C) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA53846 (CA). The NPI Number for MS. ELIZABETH ANN ILIESCU OUTLAW (PA-C) is 1184076333

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
MS. ELIZABETH ANN ILIESCU OUTLAW (PA-C)
NPI
1184076333
Phone
(215) 955-6840
Address
132 S 10TH ST
Enumeration Date
11 July 2016
Last Update Date
5 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2159993356
Graduation Year
2016 (10 years ago)
PAC ID
1951681949
Group Practice PAC ID
5991029712
Professional Enrollment ID
I20250919004470
Address ID
PA191344506PH3356XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:9State licenses:2Digital endpointsOther names

9,691 PHYSICIAN ASSISTANT in PA

Provider Addresses for MS. ELIZABETH ANN ILIESCU OUTLAW (PA-C)

  • 132 S 10TH ST

    PHILADELPHIA, PA 191075244

    Phone: (215) 955-6840

    Type: Mailing

  • Canyon Oak Place, Santa Clarita, Los Angeles County, California, 91354, United States

    SANTA CLARITA, CA 913904169

    Phone: (310) 923-8501

    Type: Mailing

  • California Hospital Medical Center, 1401, South Grand Avenue, South Park, Downtown, Los Angeles, Los Angeles County, California, 90007, United States

    LOS ANGELES, CA 900153010

    Phone: (310) 923-8501

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $113.

Total Amount is formed as General ($113) + Research ($0) + Ownership ($0) = $113.

Last reported payment date: 2023-12-14 • Largest payer in this snapshot: Haemonetics Corporation ($113).

Total Amount

$113

General + Research + Ownership

Payments

1

Total payment records

General Amount

$113

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-14

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Haemonetics Corporation$113
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-09-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161208002182IPhysician AssistantCATBD
I20250919004470IPhysician AssistantPATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making5148$0
99285Emergency department visit with high level of medical decision making2828$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 19107)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5991029712View full group profile
NameSpecialtyState
Emergency Medicine, Family PracticeCA
-PA
Emergency MedicinePA
Family PracticeNJ
Physician AssistantIL
Physician AssistantPA
Family PracticePA
-NJ
Physician AssistantPA
Physician AssistantPA

Reviews

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Frequently asked questions

How is MS. ELIZABETH ANN ILIESCU OUTLAW (PA-C) identified in CMS data?
CMS-hosted NPPES data lists MS. ELIZABETH ANN ILIESCU OUTLAW (PA-C) with NPI 1184076333.
Does the file indicate MS. ELIZABETH ANN ILIESCU OUTLAW (PA-C) is practicing under active NPI?
Directory data currently reports MS. ELIZABETH ANN ILIESCU OUTLAW (PA-C) as active.
What is MS. ELIZABETH ANN ILIESCU OUTLAW (PA-C)'s specialty?
The listing groups MS. ELIZABETH ANN ILIESCU OUTLAW (PA-C) with Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Does MS. ELIZABETH ANN ILIESCU OUTLAW (PA-C) list a practice location?
Patients near Philadelphia, Pennsylvania may find MS. ELIZABETH ANN ILIESCU OUTLAW (PA-C) in results; validate coverage separately.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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