Ilya A. Khotimsky, M.D.
NPI 1245563329ActiveIndividual· Anesthesiology· Fond Du Lac, WI
Anesthesiology (M.D.) with Vituity-Wisconsin Anesthesia SC, practicing in Fond Du Lac, Wisconsin. Medicare paid $17,701 for services to 136 patients in 2024. Lists Ascension Columbia St Marys Hospital Milwaukee and 1 other hospital as hospital affiliations.
Overview
| NPI | 1245563329 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Sep 8, 2009 |
| Last updated in NPPES | Dec 30, 2021 |
| Certified by provider | Dec 30, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiology Primary | 207L00000X | 56854 | WI |
| Anesthesiology | 207L00000X | 56854-20 | WI |
| Anesthesiology, Critical Care Medicine | 207LC0200X | 56854-20 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Anesthesiology (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 136 |
|---|---|
| Services billed | 157 across 46 procedure codes |
| Paid by Medicare | $17,701 |
Education and affiliations
| Graduation year | 1999 |
|---|---|
| Medicare specialty | Anesthesiology |
Medical group
- Vituity-Wisconsin Anesthesia SCPleasant Prairie, WI · 139 clinicians
Hospital affiliations
- Ascension Columbia St Marys Hospital MilwaukeeMilwaukee, WI
- Ascension Se Wisconsin HospitalMilwaukee, WI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 19 anesthesiologists in Fond Du Lac · All anesthesiologists in Wisconsin