Individual provider Active NPI

Jeffrey Isacson

  • Vascular & Interventional Radiology Physician
  • Atlantis, FL
National Provider Identifier
1588084073
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
146859 Issued in FL
Practice address
5301 S Congress Ave
Atlantis, FL 33462-1197
Phone
(561) 842-6141
NPI assigned
Apr 23, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 146859 FL Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

5301 S Congress Ave
Atlantis, FL 33462-1197

Mailing address

5301 S Congress Ave
Atlantis, FL 33462-1197
Phone (561) 842-6141

Other practice location 1

2950 Cleveland Clinic Blvd.
Weston, FL 33331
Phone (954) 659-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20200827000602 FL Practitioner - Diagnostic Radiology 9335367309 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Imaging Associates LLC 182 clinicians
Diagnostic Imaging Services Inc 20 clinicians

Practice addresses (Care Compare)

10000 SW Innovation Way
Port Saint Lucie, FL 34987-2111
Phone (772) 223-5680

1095 NW Saint Lucie W Blvd
Port Saint Lucie, FL 34986-1719
Phone (772) 785-5555

1490 SE Magnolia Ext
Ocala, FL 34471-4443
Phone (352) 732-7400

200 SE Hospital Ave
Stuart, FL 34994-2346
Phone (772) 287-5200

2100 SE Salerno Rd
Stuart, FL 34997-6503
Phone (772) 223-2300

3801 S Kanner Hwy
Stuart, FL 34994-4801
Phone (772) 223-4999

4301 Gulf Shore Blvd N
Apt 1002
Naples, FL 34103-3479
Phone (386) 274-6143

Hospital & facility affiliations

  • Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044

Merit-based Incentive Payment System (MIPS)

Final score
94.17 of 100Reported as group
Quality
91.47
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
146859FLMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Care Corporation CurrentSince Aug 18, 2022 Accepting new patients
Diagnostic Imaging Services Inc CurrentSince Sep 1, 2022 Accepting new patients
Florida United Radiology LC Current Accepting new patients
Radiology Imaging Associates, LLC CurrentSince Jan 1, 2025 Accepting new patients
Lee Memorial Health System Current Accepting new patients

Locations

930 S Main St
Labelle, FL 33935
Phone (239) 343-3831

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

1490 SE Magnolia Ext
Ocala, FL 34471
Phone (352) 512-9703

1041 Dunlawton Ave
Pt Orange, FL 32127
Phone (386) 322-4700

300 SE Hospital Ave
Stuart, FL 34994
Phone (772) 220-1391

2100 SE Salerno Rd
Stuart, FL 34997
Phone (772) 223-2300

Organizations & group practices 5

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": "1398211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1588084073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 S CONGRESS AVE",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334621197",
            "telephone_number": "561-842-6141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 S CONGRESS AVE",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334621197",
            "telephone_number": "561-842-6141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2950 Cleveland Clinic Blvd.",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "FL",
            "postal_code": "33331",
            "country_code": "US",
            "telephone_number": "954-659-5000",
            "fax_number": "954-659-5622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISACSON",
        "first_name": "JEFFREY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-23",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "146859",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantis, FL

Sources for this page

Verify at the official NPI Registry.