NPIMap

Individual provider Active NPI

Thomas C Isaacson, MD

  • Cardiovascular Disease Physician
  • Las Vegas, NV
National Provider Identifier
1104884311
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
32847 Issued in WI
Practice address
10105 Banburry Cross Dr Ste 250
Las Vegas, NV 89144-6648
Phone
(702) 360-7600
Fax
(702) 363-3814
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 4664 SD
Interventional Cardiology Physician 207RI0011X 19546 NV
Interventional Cardiology Physician 207RI0011X 4664 SD
Interventional Cardiology Physician 207RI0011X 32847 WI
Cardiovascular Disease Physician 207RC0000X 32847 WI Primary

Addresses

Primary practice location

10105 Banburry Cross Dr Ste 250
Las Vegas, NV 89144-6648

Mailing address

PO Box 98978
Las Vegas, NV 89193-8978
Phone (702) 216-3346

Other practice location 1

1818 N Meade St
Appleton, WI 54911-3454
Phone (920) 731-8900

Other identifiers 11

IdentifierTypeStateIssuer
103715OtherUCARE
51B19ISOtherMNMN BCBS
538R81ISOtherMNMN BLUE SHIELD
143763100MedicaidMN
931451029037OtherPREFERRED ONE
0529776MedicaidIA
0006848OtherSDSD BCBS
25-00471OtherSELECTCARE
60057719MedicaidSD
25118OtherIAIA BCBS
35614OtherHEALTH PARTNERS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI, MI3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20130816000537 IL Practitioner - Internal MedicinePractitioner - Interventional CardiologyPractitioner - Other (Physician)Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Cardiac Electrophysiology 9335156462 Reassigns benefits to 1 organization
I20191125002816 WI Practitioner - Cardiovascular Disease (Cardiology) 9335156462 Reassigns benefits to 8 organizations
I20251124001328 MI Practitioner - Interventional Cardiology 9335156462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health System CorporationGroup PAC ID 7416860440, 749 clinicians
Corazon Medical PCGroup PAC ID 1456725910, 4 clinicians
Gundersen Lutheran Medical Center IncGroup PAC ID 2163331414, 888 clinicians

Practice addresses (Care Compare)

1000 Mineral Point Ave
Janesville, WI 53548-2940
Phone (608) 756-6000

1213 Mason St
Dearborn, MI 48124-2841
Phone (800) 855-6020

1836 S Ave
La Crosse, WI 54601-5429
Phone (608) 783-7300

Hospital & facility affiliations

  • Gundersen Lutheran Medical Center Hospital, La Crosse, WI, CCN 520087
  • Oconomowoc Memorial Hospital Hospital, Oconomowoc, WI, CCN 520062
  • Mercy Health System Corp Hospital, Janesville, WI, CCN 520066

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32847WIMDCardiovascular Disease Physician
34610MNMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Nov 18, 2019 Accepting new patients
Gundersen Clinic, LTD CurrentSince Feb 1, 2026 Accepting new patients
Decatur Memorial Hospital CurrentSince Oct 13, 2021 Accepting new patients
Decatur Memorial Hospital Cardiovascular Disease CurrentSince Oct 13, 2021 Accepting new patients
Thedacare, Incorporated CurrentSince Sep 15, 2021 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Nov 18, 2019 Accepting new patients
CGH Medical Center CurrentSince Feb 7, 2022 Accepting new patients
Corazon Medical PC CurrentSince Sep 19, 2025 Accepting new patients
Mercy Health System Corporation CurrentSince Nov 13, 2025 Accepting new patients
Mercy Health System Corporation CurrentSince Nov 13, 2025 Accepting new patients
Gundersen Lutheran Express Care, Inc CurrentSince Feb 1, 2026 Accepting new patients
CGH Medical Center CurrentSince Feb 7, 2022 Accepting new patients
Michigan Radiology Institute PLLC PastSince Mar 13, 2023 Accepting new patients
Intermountain Medical Holdings Nevada Inc Interventional Cardiology Past Accepting new patients
Gundersen Lutheran Medical Center Inc Past Accepting new patients

Locations (25 of 35)

29980 Network Pl
Chicago, IL 60673

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

2300 N Edward St
Decatur, IL 62526
Phone (217) 876-3000

241 W Weaver Rd
Ste 145B
Forsyth, IL 62535
Phone (217) 876-5220

101 E Miller Rd
Sterling, IL 61081
Phone (815) 632-5285

2500 Midland Rd
Bay City, MI 48706

27501 Woodward Ave
Ste B
Berkley, MI 48072
Phone (248) 220-3335

1525 W Caro Rd
Caro, MI 48723
Phone (989) 672-2100

1213 Mason St
Dearborn, MI 48124
Phone (313) 278-2800

250 E Saginaw St
East Lansing, MI 48823
Phone (517) 337-3080

3400 Fleckenstein Rd
Flint, MI 48507
Phone (810) 877-7370

5084 Villa Linde Pkwy
Ste 7
Flint, MI 48532
Phone (810) 720-1335

3949 Sparks Dr SE
Ste 101
Grand Rapids, MI 49546

36622 5 Mile Rd
Livonia, MI 48154
Phone (734) 542-0200

1200 W 12 Mile Rd
Madison Hts, MI 48071
Phone (248) 291-5236

211 S Crapo St
Ste F
Mt Pleasant, MI 48858
Phone (989) 773-2081

4450 Fashion Square Blvd
Saginaw, MI 48603
Phone (989) 583-5240

19699 E 8 Mile Rd
St Clr Shores, MI 48080
Phone (586) 445-9900

37450 Dequindre Rd
Sterling Hts, MI 48310
Phone (586) 979-5100

1676 Fort St
Trenton, MI 48183
Phone (734) 362-0900

5210 Highland Rd
Ste 130
Waterford, MI 48327
Phone (248) 268-2119

4480 W Spencer St
Appleton, WI 54914
Phone (920) 738-4800

1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101

225 Memorial Dr
Berlin, WI 54923
Phone (920) 361-1313

402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331

Interoperability endpoints

  • Direct secure messaging: tisaacson159765@direct.phci.org

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 10

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1104884311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98978",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891938978",
            "telephone_number": "702-216-3346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10105 BANBURRY CROSS DR STE 250",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891446648",
            "telephone_number": "702-360-7600",
            "fax_number": "702-363-3814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1818 N Meade St",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549113454",
            "country_code": "US",
            "telephone_number": "920-731-8900",
            "fax_number": "920-738-5369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISAACSON",
        "first_name": "THOMAS",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SD",
            "license": "4664",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NV",
            "license": "19546",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "SD",
            "license": "4664",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "WI",
            "license": "32847",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WI",
            "license": "32847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "103715",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN BCBS",
            "identifier": "51B19IS",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN BLUE SHIELD",
            "identifier": "538R81IS",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143763100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "931451029037",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0529776",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SD BCBS",
            "identifier": "0006848",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECTCARE",
            "identifier": "25-00471",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60057719",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IA BCBS",
            "identifier": "25118",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "35614",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.