Individual provider Active NPI

Isaac William Porter, M.D.

  • Ophthalmology Physician
  • Raleigh, NC
National Provider Identifier
1407069727
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
2010-00315 Issued in NC
Practice address
5962 Six Forks Rd
Raleigh, NC 27609-3895
Phone
(919) 876-4064
Fax
(919) 876-3159
NPI assigned
May 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 036.122534 IL
Ophthalmology Physician 207W00000X 2010-00315 NC Primary

Addresses

Primary practice location

5962 Six Forks Rd
Raleigh, NC 27609-3895

Mailing address

5962 Six Forks Rd
Raleigh, NC 27609-3895
Phone (919) 876-4064

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101222000305 NC Practitioner - Ophthalmology 2961553813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Kentucky College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Raleigh Ophthalmology, P.aGroup PAC ID 6204024078, 2 clinicians

Practice addresses (Care Compare)

5962 Six Forks Rd
Raleigh, NC 27609-3895
Phone (919) 876-4064

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery548

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.122534ILMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Raleigh Ophthalmology, P.a. Ophthalmology CurrentSince Aug 16, 2010 Accepting new patients
Capital Family Medicine, P.a. PastSince Apr 1, 2025 Accepting new patients

Locations

1422 E Millbrook Rd
Raleigh, NC 27609
Phone (919) 876-4064

5962 Six Forks Rd
Raleigh, NC 27609
Phone (919) 876-4064

Interoperability endpoints

  • Direct secure messaging: porterophthalmology.isaacporter@129741.advancedmd-direct.com

Organizations & group practices 2

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 1

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": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1407069727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5962 SIX FORKS RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276093895",
            "telephone_number": "919-876-4064",
            "fax_number": "919-876-3159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5962 SIX FORKS RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276093895",
            "telephone_number": "919-876-4064",
            "fax_number": "919-876-3159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "ISAAC",
        "middle_name": "WILLIAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2022-08-23",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036.122534",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "2010-00315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.