Keith Alan Ison, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

E-4015 Issued in AR

Practice address

101 Skyline Dr
Russellville, AR 72801-3363

Phone

(479) 968-2345

Fax

(479) 890-7194

NPI assigned

Apr 21, 2006

Sex

Male

Sole proprietor

No

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.

• St Mary'S Physician Services LLC

  • General Practice Physician
  • Russellville, AR
  • NPI 1124084991

  AR, Internal Medicine

  Medicare reassignment Care Compare group NPD
• St Marys Physician Services, LLC

  • Durable Medical Equipment & Medical Supplies
  • Russellville, AR
  • NPI 1063626117
  Care Compare group NPD
• St Marys Physician Services, LLC

  • Interventional Cardiology Physician
  • Russellville, AR
  • NPI 1720356207
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Care IV, Inc.

  • Home Health Agency
  • Russellville, AR
  • NPI 1235149212
  Care Compare affiliation
• Care IV, Inc.

  • Home Health Agency
  • Little Rock, AR
  • NPI 1275520652
  Care Compare affiliation
• CHI National Home Care, LLC

  • Home Health Agency
  • Morrilton, AR
  • NPI 1801167424
  Care Compare affiliation
• Kah Development 4, LLC

  • Home Health Agency
  • Russellville, AR
  • NPI 1912357948
  Care Compare affiliation
• Russellville Holdings LLC

  • General Acute Care Hospital
  • Russellville, AR
  • NPI 1033160049

  Hospital

  Care Compare affiliation
• Trinity River Valley Home Health, LLC

  • Home Health Agency
  • Russellville, AR
  • NPI 1972945319
  Care Compare affiliation

Specialty

Internal Medicine

Education

University of Arkansas College of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Marys Physician Services LLC 49 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trinity River Valley Home Health Home health agency, Russellville, AR, CCN 047032
• Care IV Home Health Home health agency, Russellville, AR, CCN 047173
• CHI St Vincent Health at Home Home health agency, Morrilton, AR, CCN 047099
• Centerwell Home Health Home health agency, Russellville, AR, CCN 047850
• St Marys Regional Medical Center Hospital, Russellville, AR, CCN 040041

Medicare fee-for-service enrollment

Enrolled in AR

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: keith.ison.1@2433.direct.athenahealth.com

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424217600000",
    "number": "1497711279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SKYLINE DR",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728013363",
            "telephone_number": "479-968-2345",
            "fax_number": "479-890-7194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SKYLINE DR",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728013363",
            "telephone_number": "479-968-2345",
            "fax_number": "479-890-7194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISON",
        "first_name": "KEITH",
        "middle_name": "ALAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2015-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E-4015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155066001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Invocation LLC
• Laura Iracheta, RN
• Braden Scott Irwin
• Peggy Isaac, CNP
• Jillian A Ison
• Caydee Ivey
• Julian Wade Ivy, OT
• Rebecca Iwanski, CASE MANAGER CARE CO
• Rosalyn Eloise-Nadine Jackson, LPC
• Whitney Jackson, LPC

• All providers in Russellville, AR
• Internal Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.