Isaac Ilaoa, D.O

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

6820 Issued in OK

Practice address

7530 NW 23Rd St
Bethany, OK 73008-4921

Phone

(405) 730-6990

Fax

(405) 730-6992

NPI assigned

Mar 26, 2012

Last updated

Aug 6, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Previously, effective Sep 3, 2024 through Sep 3, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: iai.yhw@jkp.gwaydirect.com
• Direct secure messaging: isaac.ilaoa@16094314627076.direct.elationemr.com

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.

• Jackson County Memorial Hospital Authority

  • General Acute Care Hospital
  • Altus, OK
  • NPI 1093763781
  NPD (past)
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

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

{
    "created_epoch": "1332720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1336415280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7530 NW 23RD ST",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "730084921",
            "telephone_number": "405-730-6990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7530 NW 23RD ST",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "730084921",
            "telephone_number": "405-730-6990",
            "fax_number": "405-730-6992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILAOA",
        "first_name": "ISAAC",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-26",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A13091",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "6820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vicki Hunt, M. ED., CCC-SLP
• Paige Huntington, LPC
• Asma Hussain
• Elizabeth Hylton, OCCUPATIONAL THERAPY
• Charlotte Iaquinta, MED
• Russell D. Ingram, M.D.
• Inner Harmony
• Integris Ambulatory Care Corporation (INTEGRIS Health Jim Thorpe Rehabilitation Bethany YMCA)
• J and J Orthodontics PLLC (Boone Reeves Orthodontics)
• J Andrew McKamie DDS PC (Center for Exceptional Dentistry)

• Internal Medicine Physician in Bethany, OK
• Providers in Bethany, OK by specialty
• Internal Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.