Active NPI
Richard Lee Isaacson, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Indianapolis, IN
National Provider Identifier
1154323590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 07000414A
- Practice address
- 2020 W 86TH St
108
Indianapolis, IN 46260-1931 - Phone
- (317) 872-0984
- Fax
- (317) 872-0349
- NPI assigned
- Aug 15, 2005
- Last updated
- Apr 5, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 07000414A | IN | |
| Sports Medicine Podiatrist | 213ES0000X | 07000414A | IN | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 07000414A | IN | Primary |
Addresses
Primary practice location
2020 W 86TH St
108
Indianapolis, IN 46260-1931
Mailing address
2020 W 86TH St
108
Indianapolis, IN 46260-1931
Phone (317) 872-0984
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100061710 A & B | Medicaid | IN |
Other names 1
- Richard L. Isaacson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050301000866 | IN | Practitioner - Podiatry | 6406809417 | Practice locations: Indianapolis, IN |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
70 E 91St St
Suite 101
Indianapolis, IN 46240-1550
Phone (317) 872-0984
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 37 |
| Removal of nail tissue | 716 |
| Removal or shaving of skin growth | 155 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- richard.isaacson.1@12320.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491350400000",
"number": "1154323590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 W 86TH ST",
"address_2": "108",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462601931",
"telephone_number": "317-872-0984",
"fax_number": "317-872-0349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 W 86TH ST",
"address_2": "108",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462601931",
"telephone_number": "317-872-0984",
"fax_number": "317-872-0349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISAACSON",
"first_name": "RICHARD",
"middle_name": "LEE",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-15",
"last_updated": "2017-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IN",
"license": "07000414A",
"primary": false
},
{
"code": "213ES0000X",
"taxonomy_group": "",
"desc": "Podiatrist, Sports Medicine",
"state": "IN",
"license": "07000414A",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IN",
"license": "07000414A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100061710 A & B",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RICHARD",
"last_name": "ISAACSON",
"middle_name": "L.",
"credential": "D.P.M.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; 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.