Individual provider Active NPI

Shaun Isaac, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • St Petersburg, FL
National Provider Identifier
1083677322
Registry record updated Jul 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
ME 86370 Issued in FL
Practice address
603 7TH St S
Suite 330
St Petersburg, FL 33701-4719
Phone
(727) 553-7390
Fax
(727) 553-7399
NPI assigned
Apr 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X ME 86370 FL Primary

Addresses

Primary practice location

603 7TH St S
Suite 330
St Petersburg, FL 33701-4719

Mailing address

401 22ND Ave SE
St Petersburg, FL 33705-3303
Phone (727) 895-4018

Other identifiers 1

IdentifierTypeStateIssuer
269689400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040804001210 FL Practitioner - Internal MedicinePractitioner - Geriatric Medicine 7012988892 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HHA Associates LLCGroup PAC ID 2961839758, 125 clinicians

Practice addresses (Care Compare)

5301 S Congress Ave
Atlantis, FL 33462-1149
Phone (561) 548-1953

Hospital & facility affiliations

  • HCA Florida JFK Hospital Hospital, Atlantis, FL, CCN 100080
  • Westside Regional Medical Center Hospital, Plantation, FL, CCN 100228
  • University Hospital and Medical Center Hospital, Tamarac, FL, CCN 100224
  • HCA Florida Palms West Hospital Hospital, Loxahatchee, FL, CCN 100269
  • HCA Florida University Hospital Hospital, Davie, FL, CCN 100360

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 86370FLMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HHA Associates LLC CurrentSince Aug 20, 2021 Accepting new patients

Locations

3476 S University Dr
Davie, FL 33328
Phone (954) 452-2107

5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549

7201 N University Dr
Tamarac, FL 33321
Phone (954) 721-2200

2201 45th St
West Palm Beach, FL 33407
Phone (561) 842-6141

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

Organizations & group practices 1

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

Hospital & facility affiliations 5

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": "1144454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310428800000",
    "number": "1083677322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 22ND AVE SE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337053303",
            "telephone_number": "727-895-4018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 7TH ST S",
            "address_2": "SUITE 330",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014719",
            "telephone_number": "727-553-7390",
            "fax_number": "727-553-7399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAAC",
        "first_name": "SHAUN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-08",
        "last_updated": "2011-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME 86370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269689400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.