Active NPI
Robert Solomon Issac, NP-C
- Nurse Practitioner
- Pontiac, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704272827
- Practice address
- 44200 Woodward Ave Ste 112
Pontiac, MI 48341-5046 - Phone
- (248) 384-8100
- Fax
- (248) 384-8101
- NPI assigned
- Dec 7, 2016
- Last updated
- Jan 31, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704272827 | MI | Primary |
Addresses
Primary practice location
44200 Woodward Ave Ste 112
Pontiac, MI 48341-5046
Mailing address
5701 Bow Pointe Dr Ste 100
Clarkston, MI 48346-3199
Phone (248) 625-2621
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
44200 Woodward Ave
Suite 112
Pontiac, MI 48341-5046
Phone (248) 843-0587
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Healthcare Professionals PC | Current | Accepting new patients | |
| McLaren Community Based Primary Care Group | Family | Current | Accepting new patients |
| McLaren Community Based Primary Care Group | Current | Accepting new patients | |
| Michigan Healthcare Professionals PC | Current | Accepting new patients | |
| Michigan Healthcare Professionals PC | Current | Accepting new patients |
Locations
5701 Bow Pointe Dr
Ste 100
Clarkston, MI 48346
Phone (248) 625-2621
27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552
29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430
44200 Woodward Ave
Ste 112
Pontiac, MI 48341
Phone (248) 384-8100
1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300
3601 W 13 Mile Rd
Royal Oak, MI 48073
Interoperability endpoints
- rissac940718@direct.hfhs.org
- robert.issac.1@3928.direct.athenahealth.com
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.
-
- Physical Medicine & Rehabilitation Physician
- Flint, MI
- NPI 1750241816
Family
-
- Internal Medicine Physician
- Farmington Hills, MI
- NPI 1295023547
-
- Critical Care Medicine (Anesthesiology) Physician
- Farmington Hills, MI
- NPI 1831956986
-
- Physical Therapist
- Clarkston, MI
- NPI 1770448920
-
dba Urology Specialist of Michigan
- Durable Medical Equipment & Medical Supplies
- Lapeer, MI
- NPI 1992693303
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St Joseph Mercy Oakland
- General Acute Care Hospital
- Pontiac, MI
- NPI 1053356352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738281600000",
"number": "1093259228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5701 BOW POINTE DR STE 100",
"city": "CLARKSTON",
"state": "MI",
"postal_code": "483463199",
"telephone_number": "248-625-2621",
"fax_number": "248-625-2622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44200 WOODWARD AVE STE 112",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483415046",
"telephone_number": "248-384-8100",
"fax_number": "248-384-8101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISSAC",
"first_name": "ROBERT",
"middle_name": "SOLOMON",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-12-07",
"last_updated": "2025-01-31",
"certification_date": "2025-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704272827",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pontiac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.