Individual provider Active NPI

Tim T Issac, M.D.

  • Cardiovascular Disease Physician
  • Dallas, TX
National Provider Identifier
1013116805
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
N6379 Issued in TX
Practice address
3650 W Wheatland Rd Ste C
Dallas, TX 75237-4409
Phone
(469) 513-2666
Fax
(469) 513-2667
NPI assigned
Jul 12, 2007
Last updated
Apr 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X N6379 TX Primary

Addresses

Primary practice location

3650 W Wheatland Rd Ste C
Dallas, TX 75237-4409

Mailing address

8144 Walnut Hill LN
Ste 450
Dallas, TX 75231-4388
Phone (469) 513-2666

Other practice location 1

1018 E Wheatland Rd
Duncanville, TX 75116-4914
Phone (469) 513-2666

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111116000835 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Peripheral Vascular DiseasePractitioner - Interventional Cardiology 7113191727 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology, Peripheral Vascular Disease
Education
Creighton University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Cardiovascular Care of Dallas, PLLCGroup PAC ID 5597046672, 7 clinicians

Practice addresses (Care Compare)

1018 E Wheatland Rd
Duncanville, TX 75116-4914
Phone (469) 513-2666

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting18
Pacemaker insertion or repair1-10
Varicose vein removal12
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N6379TXMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Cardiovascular Care of Dallas, PLLC Cardiovascular Disease CurrentSince Dec 15, 2016 Accepting new patients
Stat X-Ray of Texas Inc CurrentSince Sep 16, 2012 Accepting new patients
Advanced Surgical Center, LLC PastSince Apr 1, 2021 Accepting new patients
Dallas Renal Group PA Past Accepting new patients
MSL Denison LLC Past Accepting new patients

Locations

3650 W Wheatland Rd
Ste 5
Dallas, TX 75237

3650 W Wheatland Rd
Ste C
Dallas, TX 75237
Phone (214) 774-9771

8144 Walnut Hill Ln
Ste 450
Dallas, TX 75231
Phone (214) 346-0602

1018 E Wheatland Rd
Duncanville, TX 75116
Phone (214) 915-8967

171 Rvg Pkwy
Ste 100
Waxahachie, TX 75165
Phone (214) 210-2911

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HEHCAD
  • FHIR API: https://fhir4.healow.com/fhir/r4/IJEHAD/Endpoint/IJEHAD

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 4

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": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1013116805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8144 WALNUT HILL LN",
            "address_2": "STE 450",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314388",
            "telephone_number": "469-513-2666",
            "fax_number": "469-513-2667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 W WHEATLAND RD STE C",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752374409",
            "telephone_number": "469-513-2666",
            "fax_number": "469-513-2667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1018 E Wheatland Rd",
            "address_purpose": "LOCATION",
            "city": "Duncanville",
            "state": "TX",
            "postal_code": "751164914",
            "country_code": "US",
            "telephone_number": "469-513-2666",
            "fax_number": "469-513-2667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISSAC",
        "first_name": "TIM",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-12",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "N6379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.