NPIMap

Individual provider Active NPI

Loretta R Isada, MD

  • Cardiovascular Disease Physician
  • Akron, OH
National Provider Identifier
1265412944
Registry record updated Sep 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
35-057341 Issued in OH
Practice address
4125 Medina Rd
Akron, OH 44333-2483
Phone
(330) 665-8222
Fax
(330) 666-2599
NPI assigned
Jan 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 35-057341 OH Primary

Addresses

Primary practice location

4125 Medina Rd
Akron, OH 44333-2483

Mailing address

4125 Medina Rd
Akron, OH 44333-2483
Phone (330) 665-8222

Other identifiers 4

IdentifierTypeStateIssuer
0884815MedicaidOH
1841239274OtherOHMEDICARE GROUP NPI #
2551671OtherOHPPG MEDICAID GROUP #
9338635OtherOHMEDICARE GROUP NUMBER

Other names 1

  • Loretta B Roach Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20040204000926 OH Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6103719000 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Toledo College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summa Physicians LLC 692 clinicians

Practice addresses (Care Compare)

1 Park W Blvd
Akron, OH 44320-4226

155 5TH St NE
Barberton, OH 44203-3332

1835 Franks Pkwy
Green, OH 44685-6249
Phone (330) 319-9700

3780 Medina Rd
Medina, OH 44256-9311
Phone (330) 375-6590

3780 Medina Rd
Medina, OH 44256-9312

525 E Market St
Akron, OH 44304-1619

95 Arch St
Akron, OH 44304-1437
Phone (330) 375-3039

95 Arch St
Suite 215
Akron, OH 44304-1467
Phone (330) 434-4145

Hospital & facility affiliations

  • Summa Health System Hospital, Akron, OH, CCN 360020
  • Akron General Medical Center Hospital, Akron, OH, CCN 360027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-057341OHMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summa Physicians LLC CurrentSince Oct 16, 2017 Accepting new patients
Summa Physicians LLC Current Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Cardiovascular Disease Past Accepting new patients
Partners Physician Group Cardiovascular Disease Past Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Cardiovascular Disease Past Accepting new patients
Northeast Ohio Cardiovascular Specialists Inc. Cardiovascular Disease Past Accepting new patients

Locations

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

1077 Gorge Blvd
Akron, OH 44310
Phone (234) 312-5691

Interoperability endpoints

  • Direct secure messaging: lisada25474@summahealth-direct.org

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283990400000",
    "number": "1265412944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4125 MEDINA RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443332483",
            "telephone_number": "330-665-8222",
            "fax_number": "330-666-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 MEDINA RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443332483",
            "telephone_number": "330-665-8222",
            "fax_number": "330-666-2599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISADA",
        "first_name": "LORETTA",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-19",
        "last_updated": "2010-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35-057341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0884815",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NPI #",
            "identifier": "1841239274",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPG MEDICAID GROUP #",
            "identifier": "2551671",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "9338635",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORETTA",
            "last_name": "ROACH",
            "middle_name": "B",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.