Individual provider Active NPI

John Isaac Jr., M.D.

  • Surgery Physician
  • Warwick, RI
National Provider Identifier
1225037435
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
RI7525 Issued in RI
Practice address
390 Toll Gate Rd
Ste.200
Warwick, RI 02886-4326
Phone
(401) 739-8010
Fax
(401) 739-6087
NPI assigned
Jul 19, 2005
Last updated
Sep 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X RI7525 RI Primary
Surgery Physician 208600000X 20154 NH
Surgery Physician 208600000X 0101268741 VA
Vascular Surgery Physician 2086S0129X MD07525 RI

Addresses

Primary practice location

390 Toll Gate Rd
Ste.200
Warwick, RI 02886-4326

Mailing address

390 Toll Gate Rd
Ste.200
Warwick, RI 02886-4326
Phone (401) 739-8010

Other practice location 1

168 Kinsley St
Nashua, NH 03060-3634
Phone (603) 598-0455

Other practice location 2

7554 Hospital Dr # D-303
Gloucester, VA 23061-4178
Phone (804) 693-3400

Other practice location 3

16000 Johnston Memorial Dr Ste 101
Abingdon, VA 24211-7664
Phone (276) 258-1777

Other identifiers 4

IdentifierTypeStateIssuer
29065-0OtherRIBLUE CROSS PROVIDER ID
200881OtherRIBLUE CHIP PROVIDER ID
3121659MedicaidNH
7000784MedicaidRI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jisaac301460@balladhealth.medalliesdirect.net Direct Abingdon Physician Partners

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200319001827 NH Practitioner - General Surgery 3375595408 Reassigns benefits to 2 organizations
I20200520002358 VA Practitioner - General Surgery 3375595408 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1021 W Oakland Ave
Suite 310
Johnson City, TN 37604-2192

509 Med Tech Pkwy
Suite 100
Johnson City, TN 37604-2578

856 J Clyde Morris Blvd
Suite a
Newport News, VA 23601-1318

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RI7525RIMDSurgery Physician
MD07525RIMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Joseph Hospital of Nashua NH CurrentSince Apr 23, 2020 Accepting new patients
Abingdon Physician Partners CurrentSince Sep 4, 2022 Accepting new patients
St Joseph Hospital of Nashua NH CurrentSince Apr 23, 2020 Accepting new patients
The New London Hospital Association, Inc. CurrentSince Sep 17, 2023 Accepting new patients
Wellmont Health System Current Accepting new patients
The New London Hospital Association, Inc. Surgery CurrentSince Sep 17, 2023 Accepting new patients
West Bay Surgical Associates Inc. Surgery PastSince Dec 1, 2004 Accepting new patients
The New London Hospital Association, Inc. Past Accepting new patients
Abingdon Physician Partners Surgery PastSince Sep 4, 2022 Accepting new patients

Locations

168 Kinsley St
Nashua, NH 03060
Phone (603) 578-9363

172 Kinsley St
Nashua, NH 03060
Phone (603) 595-3926

273 County Rd
New London, NH 03257
Phone (603) 526-5215

16000 Johnston Memorial Dr
Abingdon, VA 24211
Phone (276) 258-1000

16000 Johnston Memorial Dr
Ste 101
Abingdon, VA 24211
Phone (276) 258-1777

1205 Snider St
#B
Marion, VA 24354
Phone (276) 258-1777

Interoperability endpoints

  • Direct secure messaging: jisaac301460@balladhealth.medalliesdirect.net

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1225037435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 TOLL GATE RD",
            "address_2": "STE.200",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864326",
            "telephone_number": "401-739-8010",
            "fax_number": "401-739-6087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 TOLL GATE RD",
            "address_2": "STE.200",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864326",
            "telephone_number": "401-739-8010",
            "fax_number": "401-739-6087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "168 Kinsley St",
            "address_purpose": "LOCATION",
            "city": "Nashua",
            "state": "NH",
            "postal_code": "030603634",
            "country_code": "US",
            "telephone_number": "603-598-0455",
            "fax_number": "603-598-0456",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7554 Hospital Dr # D-303",
            "address_purpose": "LOCATION",
            "city": "Gloucester",
            "state": "VA",
            "postal_code": "230614178",
            "country_code": "US",
            "telephone_number": "804-693-3400",
            "fax_number": "804-693-9793",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16000 Johnston Memorial Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Abingdon",
            "state": "VA",
            "postal_code": "242117664",
            "country_code": "US",
            "telephone_number": "276-258-1777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISAAC",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "RI",
            "license": "RI7525",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NH",
            "license": "20154",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101268741",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "RI",
            "license": "MD07525",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER ID",
            "identifier": "29065-0",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP PROVIDER ID",
            "identifier": "200881",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3121659",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7000784",
            "state": "RI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jisaac301460@balladhealth.medalliesdirect.net",
            "affiliation": "Y",
            "endpointDescription": "Ballad Health Care Everywhere",
            "affiliationName": "Abingdon Physician Partners",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "16000 Johnston Memorial Drive",
            "city": "Abingdon",
            "state": "VA",
            "country_code": "US",
            "postal_code": "24211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.