Individual provider Active NPI

Isaiah Fiso, CNP

  • Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1528879657
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
263991 Issued in AZ
Practice address
1735 E Skyline Dr
Tucson, AZ 85718-1162
Phone
(520) 618-1630
Fax
(520) 618-1636
NPI assigned
Jan 17, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 263991 AZ Primary

Addresses

Primary practice location

1735 E Skyline Dr
Tucson, AZ 85718-1162

Mailing address

1735 E Skyline Dr
Tucson, AZ 85718-1162
Phone (520) 618-1630

Other practice location 1

10211 N Oracle Rd
Oro Valley, AZ 85737-9465
Phone (520) 618-1630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250128001752 AZ Practitioner - Nurse Practitioner 2466981063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ironwood Dermatology, PCGroup PAC ID 1153346127, 10 clinicians

Practice addresses (Care Compare)

1735 E Skyline Dr
Tucson, AZ 85718-1162
Phone (520) 618-1630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ironwood Dermatology, PC CurrentSince Jan 17, 2025 Accepting new patients

Locations

1735 E Skyline Dr
Tucson, AZ 85718
Phone (520) 548-3884

10211 N Oracle Rd
Tucson, AZ 85737
Phone (520) 618-1630

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1737072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1528879657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 E SKYLINE DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857181162",
            "telephone_number": "520-618-1630",
            "fax_number": "520-618-1636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 E SKYLINE DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857181162",
            "telephone_number": "520-618-1630",
            "fax_number": "520-618-1636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10211 N Oracle Rd",
            "address_purpose": "LOCATION",
            "city": "Oro Valley",
            "state": "AZ",
            "postal_code": "857379465",
            "country_code": "US",
            "telephone_number": "520-618-1630",
            "fax_number": "520-618-1636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISO",
        "first_name": "ISAIAH",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-17",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "263991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.