Individual provider Active NPI

Ghada Isaac, M.D.

  • Anesthesiology Physician
  • Tucson, AZ
National Provider Identifier
1194727917
Registry record updated Nov 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
232129 Issued in NY
Practice address
6336 N Pinnacle Ridge Dr
Tucson, AZ 85718-3535
Phone
(520) 219-2939
Fax
(480) 839-4727
NPI assigned
Aug 11, 2005
Last updated
Nov 2, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 232129 NY Primary

Addresses

Primary practice location

6336 N Pinnacle Ridge Dr
Tucson, AZ 85718-3535

Mailing address

PO Box 35652
Tucson, AZ 85740-5652
Phone (520) 219-2939

Other identifiers 12

IdentifierTypeStateIssuer
000416905003OtherBLUE SHIELD NENY
3656ROtherEMPIRE BLUE CROSS
GI03656R10OtherEMPIRE BLUE CROSS
232129OtherTRICARE NORTH REGION
050502000000OtherFIDELIS
000416905001OtherBLUE SHIELD NENY
02552918MedicaidNY
10083979OtherCDPHP
232129-7WOtherWORKERS COMP
4126832OtherMVP
GI03656R20OtherEMPIRE BLUE CROSS
232129-7WOtherNO FAULT

Other names 1

  • Dr. Ghada Ishak Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070330000072 AZ Practitioner - Anesthesiology 8820061526 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner-University Medical GroupGroup PAC ID 7719899871, 1,066 clinicians
Ias Arizona PLLCGroup PAC ID 7517312648, 122 clinicians

Practice addresses (Care Compare)

2800 E Ajo Way
Tucson, AZ 85713-6204
Phone (520) 874-2000

5301 E Grant Rd
Tucson, AZ 85712-2805
Phone (469) 340-1366

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.34 of 100Reported as apm
Quality
74.56
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Banner-University Medical Group Anesthesiology CurrentSince Jan 14, 2021 Accepting new patients
Ias Arizona PLLC Anesthesiology CurrentSince Jul 8, 2024 Accepting new patients
Banner-University Medical Group CurrentSince Jan 14, 2021 Accepting new patients

Locations

10360 E Drexel Rd
Tucson, AZ 85747
Phone (469) 340-1366

1625 N Campbell Ave
Tucson, AZ 85719

2121 N Craycroft Rd
Bldg 8
Tucson, AZ 85712
Phone (520) 230-7156

2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471

5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344

535 N Wilmot Rd
Ste 101
Tucson, AZ 85711
Phone (520) 694-9988

6050 N Corona Rd
Tucson, AZ 85704
Phone (520) 469-8100

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509580800000",
    "number": "1194727917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35652",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857405652",
            "telephone_number": "520-219-2939",
            "fax_number": "480-839-4727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6336 N PINNACLE RIDGE DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857183535",
            "telephone_number": "520-219-2939",
            "fax_number": "480-839-4727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAAC",
        "first_name": "GHADA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-11",
        "last_updated": "2017-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "232129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD NENY",
            "identifier": "000416905003",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS",
            "identifier": "3656R",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS",
            "identifier": "GI03656R10",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE NORTH REGION",
            "identifier": "232129",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "050502000000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD NENY",
            "identifier": "000416905001",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02552918",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10083979",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMP",
            "identifier": "232129-7W",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "4126832",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS",
            "identifier": "GI03656R20",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NO FAULT",
            "identifier": "232129-7W",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GHADA",
            "last_name": "ISHAK",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.