Individual provider Active NPI

Yanick Alana Isaac, M.D.

  • Emergency Medicine Physician
  • Miramar, FL
National Provider Identifier
1689602823
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME92496 Issued in FL
Practice address
1901 SW 172ND Ave
Miramar, FL 33029-5592
Phone
(954) 538-5000
NPI assigned
Jun 28, 2006
Last updated
Mar 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME92496 FL Primary

Addresses

Primary practice location

1901 SW 172ND Ave
Miramar, FL 33029-5592

Mailing address

14050 NW 14TH St
Suite 190
Sunrise, FL 33323-2865
Phone (800) 424-3672

Other identifiers 2

IdentifierTypeStateIssuer
03523OtherFLBLUE SHIELD
273809100MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address yisaac12331@MHSDIRECT.NET

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050719000460 FL Practitioner - Emergency Medicine 2466489778 Reassigns benefits to 3 organizations
I20241206002383 AZ Practitioner - Emergency Medicine 2466489778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Virginia Commonwealth University, School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MD Ally Services PAGroup PAC ID 9133516743, shared by 2 NPIs, 23 clinicians

Practice addresses (Care Compare)

4600 E Washington St
Suite 300
Phoenix, AZ 85034-1908
Phone (844) 933-1911

7900 Oak LN
Suite 400
Miami Lakes, FL 33016-6001
Phone (203) 350-2116

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Emergency Medicine of Broward LLC Emergency Medicine CurrentSince Nov 1, 2017 Accepting new patients
MD Ally Services PA Emergency Medicine CurrentSince Sep 21, 2022 Accepting new patients
Inphynet South Broward LLC Emergency Medicine CurrentSince Jul 18, 2005 Accepting new patients
Phoenix Emergency Medicine of Broward LLC Emergency Medicine CurrentSince Nov 1, 2017 Accepting new patients
MD Ally Services PA Emergency Medicine CurrentSince Sep 21, 2022 Accepting new patients

Locations

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

7900 Oak Ln
Ste 400
Miami Lakes, FL 33016
Phone (203) 350-2116

1901 SW 172nd Ave
Miramar, FL 33029
Phone (954) 276-5401

703 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 436-5000

3000 Coral Hills Dr
Pompano Beach, FL 33065
Phone (954) 344-3000

3114 Croasdaile Dr
#200
Durham, NC 27705
Phone (877) 751-1157

348 W 57th St
Ste 180
New York, NY 10019
Phone (801) 631-7318

Interoperability endpoints

  • Direct secure messaging: yanick.isaac.1@27810.direct.athenahealth.com
  • Direct secure messaging: yisaac12331@mhsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1689602823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14050 NW 14TH ST",
            "address_2": "SUITE 190",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232865",
            "telephone_number": "800-424-3672",
            "fax_number": "954-377-3042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 SW 172ND AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330295592",
            "telephone_number": "954-538-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAAC",
        "first_name": "YANICK",
        "middle_name": "ALANA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME92496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "03523",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273809100",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "yisaac12331@MHSDIRECT.NET",
            "affiliation": "N",
            "address_1": "1901 SW 172nd Ave",
            "city": "Miramar",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330295592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

Verify at the official NPI Registry.