NPIMap

Individual provider Active NPI

Mohsen A Isaac, MD

  • Radiation Oncology Physician
  • Monongahela, PA
National Provider Identifier
1225035348
Registry record updated Mar 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
MD0419123 Issued in PA
Practice address
1163 Country Club Rd
Melenyzer Pavilion
Monongahela, PA 15063-1013
Phone
(724) 258-1970
Fax
(724) 258-1784
NPI assigned
Jul 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X MD0419123 PA Primary
Diagnostic Radiology Physician 2085R0202X MD419123 PA
Therapeutic Radiology Physician 2085R0203X MD419123 PA

Addresses

Primary practice location

1163 Country Club Rd
Melenyzer Pavilion
Monongahela, PA 15063-1013

Mailing address

1163 Country Club Rd
Melenyzer Pavilion
Monongahela, PA 15063-1013
Phone (724) 258-1970

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100521000729 PA Practitioner - Radiation Oncology 3870698582 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1163 Country Club Rd
Monongahela, PA 15063-1013
Phone (724) 258-1970

Hospital & facility affiliations

  • Penn Highlands Mon Valley Hospital, Monongahela, PA, CCN 390147
  • Penn Highlands Connellsville Hospital, Connellsville, PA, CCN 390184

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0419123PAMDRadiation Oncology Physician
MD419123PAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mon-Vale Oncology, Inc. CurrentSince Aug 21, 2023 Accepting new patients
Mon-Vale Radiation Oncology, Inc. Radiation Oncology CurrentSince Aug 1, 2013 Accepting new patients
Allegheny Clinic Past Accepting new patients
West Penn Radiation Oncology Associates, PC Radiation Oncology Past Accepting new patients

Locations

1163 Country Club Rd
Monongahela, PA 15063
Phone (724) 258-1000

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394668800000",
    "number": "1225035348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1163 COUNTRY CLUB RD",
            "address_2": "MELENYZER PAVILION",
            "city": "MONONGAHELA",
            "state": "PA",
            "postal_code": "150631013",
            "telephone_number": "724-258-1970",
            "fax_number": "724-258-1784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1163 COUNTRY CLUB RD",
            "address_2": "MELENYZER PAVILION",
            "city": "MONONGAHELA",
            "state": "PA",
            "postal_code": "150631013",
            "telephone_number": "724-258-1970",
            "fax_number": "724-258-1784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAAC",
        "first_name": "MOHSEN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2014-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "PA",
            "license": "MD0419123",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD419123",
            "primary": false
        },
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "PA",
            "license": "MD419123",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monongahela, PA

Sources for this page

Verify at the official NPI Registry.