Individual provider Active NPI

Danny Isawi

  • Family Medicine Physician
  • Terre Haute, IN
National Provider Identifier
1639585136
Registry record updated Jul 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11017994A Issued in IN
Practice address
1530 N 7TH St
Suite 200
Terre Haute, IN 47807-1057
Phone
(812) 238-7631
NPI assigned
Jul 3, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11017994A IN Primary

Addresses

Primary practice location

1530 N 7TH St
Suite 200
Terre Haute, IN 47807-1057

Mailing address

1530 N 7TH St
Suite 200
Terre Haute, IN 47807-1057
Phone (812) 238-7631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20171108003622 IL Practitioner - Family Practice 7719103928 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3001 Highland View Dr
Freeport, IL 61032-6942
Phone (815) 235-3165

600 N Rush St
Stockton, IL 61085-1010
Phone (815) 947-3211

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.84 of 100Reported as group
Quality
75.22
Promoting interoperability
92
Improvement activities
40
Cost
73.11

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

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.

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": "1404345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404345600000",
    "number": "1639585136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 N 7TH ST",
            "address_2": "SUITE 200",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478071057",
            "telephone_number": "812-238-7631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 N 7TH ST",
            "address_2": "SUITE 200",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478071057",
            "telephone_number": "812-238-7631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAWI",
        "first_name": "DANNY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-03",
        "last_updated": "2014-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "11017994A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

Verify at the official NPI Registry.