Individual provider Active NPI

Richard Lee Isaacson, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Indianapolis, IN
National Provider Identifier
1154323590
Registry record updated Apr 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
07000414A Issued in IN
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, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100061710 A & BMedicaidIN

Other names 1

  • Richard L. Isaacson Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions37
Removal of nail tissue716
Removal or shaving of skin growth155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: 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

Verify at the official NPI Registry.