Active NPI
John Isaac Jr., M.D.
- Surgery Physician
- Warwick, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- RI7525
- 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, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 29065-0 | Other | RI | BLUE CROSS PROVIDER ID |
| 200881 | Other | RI | BLUE CHIP PROVIDER ID |
| 3121659 | Medicaid | NH | |
| 7000784 | Medicaid | RI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jisaac301460@balladhealth.medalliesdirect.net | Direct | Abingdon Physician Partners |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RI7525 | RI | MD | Surgery Physician |
| MD07525 | RI | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Joseph Hospital of Nashua NH | Current | Accepting new patients | |
| Abingdon Physician Partners | Current | Accepting new patients | |
| St Joseph Hospital of Nashua NH | Current | Accepting new patients | |
| The New London Hospital Association, Inc. | Current | Accepting new patients | |
| Wellmont Health System | Current | Accepting new patients | |
| The New London Hospital Association, Inc. | Surgery | Current | Accepting new patients |
| West Bay Surgical Associates Inc. | Surgery | Past | Accepting new patients |
| The New London Hospital Association, Inc. | Past | Accepting new patients | |
| Abingdon Physician Partners | Surgery | Past | 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
- 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.
-
- Internal Medicine Physician
- Abingdon, VA
- NPI 1306944350
-
- General Acute Care Hospital
- Nashua, NH
- NPI 1093787384
-
- Critical Access Hospital
- New London, NH
- NPI 1831200583
Surgery
-
dba St Joseph Hospital Urgent Care
- Urgent Care Clinic/Center
- Milford, NH
- NPI 1437758679
-
dba d/b/a New London Hospital EMS
- Ambulance
- New London, NH
- NPI 1639610611
-
- General Acute Care Hospital
- Kingsport, TN
- NPI 1760405849
-
- Surgery Physician
- Warwick, RI
- NPI 1174522304
-
dba Abingdon Surgical Associats
- Surgery Physician
- Abingdon, VA
- NPI 1962483131
-
dba Newport Health Center
- Multi-Specialty Clinic/Center
- Newport, NH
- NPI 1770684672
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.