Individual provider Active NPI

Alejandro Eduardo Isgut, MD

  • Family Medicine Physician
  • Newtown, CT
National Provider Identifier
1144287913
Registry record updated Jul 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
016010 Issued in CT
Practice address
153 S Main St
Newtown, CT 06470-2791
Phone
(203) 270-1077
Fax
(203) 426-2175
NPI assigned
Apr 27, 2006
Last updated
Jul 2, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2015

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 016010 CT Primary
Family Medicine Physician 207Q00000X 16010 CT
Pediatrics Physician 208000000X 16010 CT
General Practice Physician 208D00000X 016010 CT
General Practice Physician 208D00000X 16010 CT

Addresses

Primary practice location

153 S Main St
Newtown, CT 06470-2791

Mailing address

153 S Main St
Newtown, CT 06470-2791
Phone (203) 270-1077

Other identifiers 1

IdentifierTypeStateIssuer
016010OtherCTMEDICAL LICENSE

Other names 1

  • Dr. Alexander E. Isgut Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
016010CTMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Care Center, LLC Family Medicine PastSince Sep 10, 2004 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435795200000",
    "number": "1144287913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 S MAIN ST",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064702791",
            "telephone_number": "203-270-1077",
            "fax_number": "203-426-2175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 S MAIN ST",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064702791",
            "telephone_number": "203-270-1077",
            "fax_number": "203-426-2175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISGUT",
        "first_name": "ALEJANDRO",
        "middle_name": "EDUARDO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2015-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "016010",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "16010",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "16010",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CT",
            "license": "016010",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CT",
            "license": "16010",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "016010",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDER",
            "last_name": "ISGUT",
            "middle_name": "E.",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Newtown, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.