Active NPI
Susan F Isbey, MD
- Internal Medicine Physician
- Durham, NC
National Provider Identifier
1396742730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 39828
- Practice address
- 4205 Ben Franklin Blvd
Durham, NC 27704-2143 - Phone
- (919) 477-6900
- Fax
- (919) 477-5081
- NPI assigned
- Jun 30, 2005
- Last updated
- Jun 10, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 39828 | NC | Primary |
Addresses
Primary practice location
4205 Ben Franklin Blvd
Durham, NC 27704-2143
Mailing address
3209 Annandale Rd
Durham, NC 27705-5469
Phone (919) 477-6900
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44469 | Other | NC | BLUE MEDICARE |
| 45432 | Other | NC | BLUECROSS BLUESHIELD |
| 7945480 | Medicaid | NC | |
| P00444624 | Other | NC | RAILROAD MEDCICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150708003198 | NC | Order and Referring Only - Internal Medicine | 9436248598 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39828 | NC | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402358400000",
"number": "1396742730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3209 ANNANDALE RD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277055469",
"telephone_number": "919-477-6900",
"fax_number": "919-477-5081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4205 BEN FRANKLIN BLVD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277042143",
"telephone_number": "919-477-6900",
"fax_number": "919-477-5081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISBEY",
"first_name": "SUSAN",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-30",
"last_updated": "2014-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "39828",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE MEDICARE",
"identifier": "44469",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "45432",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7945480",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDCICARE",
"identifier": "P00444624",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.