David Michael Israelstam, M.D., PH.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

17772 Issued in WI

Practice address

330 S Whitney Way
Suite 104
Madison, WI 53705-4638

Phone

(608) 236-0450

Fax

(608) 236-0458

NPI assigned

Jul 4, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1120435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226275200000",
    "number": "1578560744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5705 ARBOR VITAE PL",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537052546",
            "telephone_number": "608-231-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 S WHITNEY WAY",
            "address_2": "SUITE 104",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537054638",
            "telephone_number": "608-236-0450",
            "fax_number": "608-236-0458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISRAELSTAM",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-04",
        "last_updated": "2008-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "17772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30497800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Salman Sayeed Islam, MD
• Tehmina Islam, CPM, LM
• Tess Isola
• Eileen Marie Isom, D.C.
• Jacqueline Susan Israel, M.D.
• Malika M Israilova
• Isthmus Acupuncture Center, LLC
• Isthmus Dental, LTD
• Isthmus Express LLC
• Isthmus Family Dental LLC

• Psychiatry Physician in Madison, WI
• Providers in Madison, WI by specialty
• Psychiatry Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.