Individual provider Active NPI

Mark S Isenberg, DPM

  • Podiatrist
  • Pensacola, FL
National Provider Identifier
1154328177
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
P00001247 Issued in FL
Practice address
6109 N Davis Hwy
Pensacola, FL 32504-6949
Phone
(850) 741-2251
Fax
(866) 258-9993
NPI assigned
Jul 5, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X P00001247 FL Primary

Addresses

Primary practice location

6109 N Davis Hwy
Pensacola, FL 32504-6949

Mailing address

6109 N Davis Hwy
Pensacola, FL 32504-6949
Phone (850) 741-2251

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20060803000016 FL Practitioner - Podiatry 4981673621 Reassigns benefits to 2 organizations
Practice locations: Pensacola, FL

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6109 N Davis Hwy
Pensacola, FL 32504-6949
Phone (850) 741-2251

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue46
Removal of nail tissue1456
Removal or shaving of skin growth307
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P00001247FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mghmi, LLC Podiatrist Current Accepting new patients
Mghmi Podiatrist CurrentSince Jul 14, 2018 Accepting new patients
Dr Mark Isenberg PA Podiatrist CurrentSince Apr 16, 2013 Accepting new patients

Locations

6109 N Davis Hwy
Pensacola, FL 32504
Phone (850) 741-2251

1012 N 72nd Ave
Pensacola, FL 32506
Phone (850) 458-8558

14 W Jordan St
Ste 1J
Pensacola, FL 32501
Phone (850) 432-9023

4488 Highway 79
Vernon, FL 32462
Phone (850) 478-9051

Interoperability endpoints

  • Direct secure messaging: mark.isenberg@dmip-fl.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1154328177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6109 N DAVIS HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046949",
            "telephone_number": "850-741-2251",
            "fax_number": "866-258-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6109 N DAVIS HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046949",
            "telephone_number": "850-741-2251",
            "fax_number": "866-258-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISENBERG",
        "first_name": "MARK",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "P00001247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.