Individual provider Active NPI

David L Isaacs, MD

  • Diagnostic Radiology Physician
  • Milwaukee, WI
National Provider Identifier
1366410730
Registry record updated Aug 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
47962 Issued in WI
Practice address
945 N 12TH St
Great Lakes Radiologists
Milwaukee, WI 53202
Phone
(262) 786-3107
Fax
(262) 780-0442
NPI assigned
Mar 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 47962 WI Primary

Addresses

Primary practice location

945 N 12TH St
Great Lakes Radiologists
Milwaukee, WI 53202

Mailing address

945 N 12TH St
Great Lakes Radiologists
Milwaukee, WI 53202
Phone (262) 786-3107

Other identifiers 1

IdentifierTypeStateIssuer
34659100MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN, MI3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20230202002616 IL Practitioner - Diagnostic Radiology 8628013497 Reassigns benefits to 1 organization
I20230623001872 IN Practitioner - Diagnostic Radiology 8628013497 Reassigns benefits to 1 organization
I20230918004059 MI Practitioner - Diagnostic Radiology 8628013497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of North Carolina at Chapel Hill School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology IncGroup PAC ID 5890695464, 35 clinicians

Practice addresses (Care Compare)

100 Navarre PL
Suite 5510
South Bend, IN 46601-1172
Phone (574) 647-7742

100 Navarre PL
Suite 6655
South Bend, IN 46601-1174
Phone (574) 647-6850

1020 High Rd
Bremen, IN 46506-1093
Phone (574) 546-2211

1115 Professional Dr
Goshen, IN 46526-3800
Phone (574) 364-4850

1135 Professional Dr
Goshen, IN 46526-3800
Phone (574) 364-4000

1240 N Lake Shore Dr
Apt 18a
Chicago, IL 60610-6649
Phone (574) 258-1100

200 High Park Ave
Goshen, IN 46526-4810
Phone (574) 535-2693

303 S Nappanee St
Elkhart Clinic
Elkhart, IN 46514-2066
Phone (574) 296-3365

600 E Blvd
Elkhart, IN 46514-2483
Phone (574) 294-2621

615 N Michigan St
Memorial Hospital
South Bend, IN 46601-1033
Phone (574) 647-1000

6901 N Main St
Memorial Lighthouse Imaging Center
Granger, IN 46530-8022
Phone (574) 647-2900

701 S Health Pkwy
Three Rivers, MI 49093-8352
Phone (269) 278-1145

Hospital & facility affiliations

  • Memorial Hospital of South Bend Hospital, South Bend, IN, CCN 150058
  • Elkhart General Hospital Hospital, Elkhart, IN, CCN 150018
  • Goshen Hospital Hospital, Goshen, IN, CCN 150026
  • Three Rivers Health Hospital, Three Rivers, MI, CCN 230015
  • Community Hospital of Bremen Inc Hospital, Bremen, IN, CCN 151300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47962WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Health, LLC Diagnostic Radiology CurrentSince Mar 23, 2026 Accepting new patients
Radiology, Inc Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
Beacon Health, LLC Diagnostic Radiology CurrentSince Sep 1, 2023 Accepting new patients
Aurora Medical Group, Inc. Past Accepting new patients
Aurora Medical Group, Inc. Past Accepting new patients
J Kim Radiology Associates PA Past Accepting new patients
Great Lakes Radiologists SC Diagnostic Radiology Past Accepting new patients

Locations (25 of 28)

1020 High Rd
Bremen, IN 46506
Phone (574) 309-9967

1020 High Rd
#O
Bremen, IN 46506
Phone (574) 284-3086

306 E Vistula St
Bristol, IN 46507
Phone (219) 266-9840

303 S Nappanee St
Elkhart, IN 46514

600 East Blvd
Fl 3
Elkhart, IN 46514

600 East Blvd
Elkhart, IN 46514
Phone (574) 294-2621

1115 Professional Dr
Goshen, IN 46526
Phone (574) 364-4850

200 High Park Ave
Goshen, IN 46526
Phone (219) 533-2141

2222 Rieth Blvd
Ste 101
Goshen, IN 46526
Phone (574) 875-0881

1135 Professional Dr
Goshen, IN 46526
Phone (574) 364-4600

1122 Professional Dr
Goshen, IN 46526
Phone (574) 533-0348

6901 N Main St
Granger, IN 46530
Phone (574) 647-2900

102 E Culver Rd
Knox, IN 46534
Phone (574) 772-1580

1331 State St
Laporte, IN 46350
Phone (219) 326-2415

301 E Day Rd
Ste 200
Mishawaka, IN 46545
Phone (574) 204-7252

620 W Edison Rd
Ste 110
Mishawaka, IN 46545
Phone 5742581100 ext. 239

5314 Lincolnway E
Mishawaka, IN 46544
Phone (574) 256-9032

4630 Vistula Rd
Mishawaka, IN 46544
Phone (219) 254-7200

1953 Waterfall Dr
Nappanee, IN 46550
Phone (574) 773-2404

450 E Country Ln
Shipshewana, IN 46565
Phone (260) 768-4141

100 Navarre Pl
Ste 5510
South Bend, IN 46601
Phone (574) 647-7742

100 Navarre Pl
Ste 6655
South Bend, IN 46601
Phone (574) 284-6850

1815 E Ireland Rd
South Bend, IN 46614
Phone (574) 647-1700

615 N Michigan St
South Bend, IN 46601
Phone (574) 647-1000

111 W Jefferson Blvd
Ste 100
South Bend, IN 46601
Phone (574) 647-1669

Interoperability endpoints

  • Direct secure messaging: disaacsmd359276@carlehiedirect.net

Organizations & group practices 7

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 7

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": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187654400000",
    "number": "1366410730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 N 12TH ST",
            "address_2": "GREAT LAKES RADIOLOGISTS",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53202",
            "telephone_number": "262-786-3107",
            "fax_number": "262-780-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 N 12TH ST",
            "address_2": "GREAT LAKES RADIOLOGISTS",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53202",
            "telephone_number": "262-786-3107",
            "fax_number": "262-780-0442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAACS",
        "first_name": "DAVID",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2007-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "47962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34659100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.