NPIMap

Individual provider Active NPI

Todd Mikael Isaacson, M.D.

  • Family Medicine Physician
  • Shenandoah, IA
National Provider Identifier
1003027939
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
38928 Issued in IA
Practice address
1 Jack Foster Dr
Shenandoah, IA 51601-4586
Phone
(712) 246-7400
Fax
(712) 246-7334
NPI assigned
May 24, 2007
Last updated
Oct 14, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 24765 NE
Family Medicine Physician 207Q00000X 38928 IA Primary

Addresses

Primary practice location

1 Jack Foster Dr
Shenandoah, IA 51601-4586

Mailing address

300 Pershing Ave
Shenandoah, IA 51601-2355
Phone (712) 246-7101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100923001055 IA Practitioner - Family PracticePractitioner - Emergency Medicine 1052468055 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
University of Nebraska College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shenandoah Medical CenterGroup PAC ID 9436063237, shared by 7 NPIs, 52 clinicians

Practice addresses (Care Compare)

1 Jack Foster Dr
Shenandoah, IA 51601-4586
Phone (712) 246-7240

300 Pershing Ave
Shenandoah, IA 51601-2355
Phone (712) 246-1230

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
38928IAMDFamily Medicine Physician
24765NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shenandoah Medical Center Current Accepting new patients
Shenandoah Medical Center CurrentSince Sep 13, 2024 Accepting new patients
Shenandoah Medical Center CurrentSince Sep 13, 2024 Accepting new patients
Shenandoah Medical Center Current Accepting new patients
Haysam Akkad, MD, PC Past Accepting new patients

Locations

1 Jack Foster Dr
Shenandoah, IA 51601
Phone (712) 246-7240

300 Pershing Ave
Shenandoah, IA 51601
Phone (712) 246-1230

300 Pershing Ave
#C
Shenandoah, IA 51601
Phone (712) 246-1230

Interoperability endpoints

  • Direct secure messaging: toddisaacson@shenmed.allscriptsdirect.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1003027939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PERSHING AVE",
            "city": "SHENANDOAH",
            "state": "IA",
            "postal_code": "516012355",
            "telephone_number": "712-246-7101",
            "fax_number": "712-246-7340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 JACK FOSTER DR",
            "city": "SHENANDOAH",
            "state": "IA",
            "postal_code": "516014586",
            "telephone_number": "712-246-7400",
            "fax_number": "712-246-7334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAACSON",
        "first_name": "TODD",
        "middle_name": "MIKAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "24765",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "38928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, IA

Sources for this page

Verify at the official NPI Registry.