Individual provider Active NPI

Richard A Isenberg, MD

  • Ophthalmology Physician
  • Phoenix, AZ
National Provider Identifier
1669453452
Registry record updated Aug 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
27482 Issued in AZ
Practice address
9250 N 3Rd St
Ste 3030
Phoenix, AZ 85020-2437
Phone
(602) 944-3347
Fax
(602) 944-3448
NPI assigned
Nov 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 27482 AZ Primary

Addresses

Primary practice location

9250 N 3Rd St
Ste 3030
Phoenix, AZ 85020-2437

Mailing address

9250 N 3Rd St
Ste 3030
Phoenix, AZ 85020-2437
Phone (602) 944-3347

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060627000295 AZ Practitioner - Ophthalmology 0446262984 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Utah School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Buena Vista Opthalmologists, P.C.Group PAC ID 8022097997, 2 clinicians

Practice addresses (Care Compare)

3700 N 24TH St
Suite 150
Phoenix, AZ 85016-6500
Phone (602) 263-8098

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery17

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Buena Vista Opthalmologists, P.C. Ophthalmology CurrentSince May 3, 2022 Accepting new patients
Risser Thomas Eye Clinic LTD Ophthalmology CurrentSince Apr 11, 2011 Accepting new patients
Richard a Isenberg MD PLLC Ophthalmology Past Accepting new patients
Medical &Surgical Eye Specialists LTD Ophthalmology Past Accepting new patients
Burton Eyecare Associates, P.L.L.C. Past Accepting new patients
Hope Eye Center, P.C. Ophthalmology Past Accepting new patients

Locations

6005 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 274-1703

302 W Main St
Payson, AZ 85541
Phone (928) 474-4126

3700 N 24th St
Ste 150
Phoenix, AZ 85016
Phone (602) 263-8098

9250 N 3rd St
Ste 3030
Phoenix, AZ 85020
Phone (602) 944-3347

Organizations & group practices 6

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": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409270400000",
    "number": "1669453452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9250 N 3RD ST",
            "address_2": "STE 3030",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202437",
            "telephone_number": "602-944-3347",
            "fax_number": "602-944-3448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 N 3RD ST",
            "address_2": "STE 3030",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202437",
            "telephone_number": "602-944-3347",
            "fax_number": "602-944-3448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISENBERG",
        "first_name": "RICHARD",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2014-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "27482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.