Individual provider Active NPI

Karen Theo Isselbacher, MD

  • Internal Medicine Physician
  • Wellesley, MA
National Provider Identifier
1508822867
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
59434 Issued in MA
Practice address
70 Hastings St
Wellesley, MA 02481-5439
Phone
(781) 444-3550
Fax
(781) 444-3551
NPI assigned
Apr 25, 2006
Last updated
Jan 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 59434 MA Primary

Addresses

Primary practice location

70 Hastings St
Wellesley, MA 02481-5439

Mailing address

70 Hastings St
Wellesley, MA 02481-5439
Phone (781) 772-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20060315000417 MA Practitioner - Internal Medicine 5193732220 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Boston University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Private Health Care Group, LLCGroup PAC ID 1052571874, 5 clinicians

Practice addresses (Care Compare)

70 Hastings St
Wellesley, MA 02481-5439
Phone (781) 772-8500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
59434MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Private Health Care Group, LLC Internal Medicine CurrentSince Feb 1, 2012 Accepting new patients

Locations

140 Gould St
Needham Heights, MA 02494
Phone (781) 433-9890

70 Hastings St
Wellesley Hills, MA 02481
Phone (781) 261-0085

Interoperability endpoints

  • Direct secure messaging: isselbacher.karen.exhmd@direct.partners.masshiway.net

Organizations & group practices 1

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.

Hospital & facility affiliations 6

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1508822867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 HASTINGS ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024815439",
            "telephone_number": "781-772-8500",
            "fax_number": "781-772-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 HASTINGS ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024815439",
            "telephone_number": "781-444-3550",
            "fax_number": "781-444-3551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISSELBACHER",
        "first_name": "KAREN",
        "middle_name": "THEO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "59434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley, MA

Sources for this page

Verify at the official NPI Registry.