Individual provider Active NPI

Muhammad S Isa, MD

  • Anesthesiology Physician
  • Carbondale, IL
National Provider Identifier
1700878600
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
036093948 Issued in IL
Practice address
405 W Jackson St
Carbondale, IL 62901-1462
Phone
(618) 549-0721
NPI assigned
Aug 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X N9879 TX
Anesthesiology Physician 207L00000X 036093948 IL Primary

Addresses

Primary practice location

405 W Jackson St
Carbondale, IL 62901-1462

Mailing address

35 Albany Rd
Suite C
Carbondale, IL 62903-7605
Phone (618) 457-5111

Other practice location 1

2001 N Jefferson Ave
Mount Pleasant, TX 75455-2338
Phone (903) 577-6000

Other identifiers 1

IdentifierTypeStateIssuer
036093948MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20150811004023 TX Practitioner - AnesthesiologyPractitioner - Pain Management 5991777351 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthomed Staffing LLCGroup PAC ID 9638429178, 373 clinicians
Tgi Anesthesia PLLCGroup PAC ID 2264782564, 2 clinicians

Practice addresses (Care Compare)

3901 W 15TH St
Plano, TX 75075-7738
Phone (972) 596-6800

4221 Medical Pkwy
Suite 100
Carrollton, TX 75010-4544
Phone (972) 497-2652

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036093948ILMDAnesthesiology Physician
N9879TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthomed Staffing LLC Anesthesiology CurrentSince Nov 10, 2021 Accepting new patients
Metropolitan Anesthesia Consultants, LLP Anesthesiology CurrentSince Feb 1, 2025 Accepting new patients
Emergenchealth PLLC Anesthesiology CurrentSince Mar 2, 2022 Accepting new patients
Evergreen Anesthesia PLLC Anesthesiology CurrentSince May 28, 2017 Accepting new patients
Tgi Anesthesia PLLC CurrentSince Oct 15, 2018 Accepting new patients
Specialists in Anesthesia PC Anesthesiology Past Accepting new patients
Paragon Anesthesia Anesthesiology Past Accepting new patients

Locations

3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200

4221 Medical Pkwy
Ste 100
Carrollton, TX 75010
Phone (972) 331-0702

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

7115 Greenville Ave
Ste 100
Dallas, TX 75231
Phone (214) 647-5300

3625 N Hall St
Ste 800
Dallas, TX 75219
Phone (214) 252-3500

2727 E Lemmon Ave
Dallas, TX 75204
Phone (214) 443-3000

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

7 Medical Pkwy
Farmers Brnch, TX 75234
Phone (972) 247-1000

5500 Frisco Square Blvd
Frisco, TX 75034
Phone (214) 618-0500

6800 N MacArthur Blvd
Irving, TX 75039
Phone (972) 969-2000

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

505 S John Redditt Dr
Lufkin, TX 75904
Phone (713) 512-1200

7211 Preston Rd
Ste 2100
Plano, TX 75024
Phone (469) 303-0104

2201 K Ave
Ste B100
Plano, TX 75074
Phone (214) 931-6133

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

4700 Alliance Blvd
Plano, TX 75093
Phone (469) 814-2000

2831 George Bush Hwy
Richardson, TX 75082
Phone (469) 204-1000

811 S Central Expy
Ste 103
Richardson, TX 75080
Phone (972) 310-7121

7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000

19010 Stone Oak Pkwy
San Antonio, TX 78258
Phone (210) 575-0355

Organizations & group practices 8

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": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1700878600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 ALBANY RD",
            "address_2": "SUITE C",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629037605",
            "telephone_number": "618-457-5111",
            "fax_number": "618-457-6560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W JACKSON ST",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629011462",
            "telephone_number": "618-549-0721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 N Jefferson Ave",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "TX",
            "postal_code": "754552338",
            "country_code": "US",
            "telephone_number": "903-577-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISA",
        "first_name": "MUHAMMAD",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "N9879",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036093948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036093948",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carbondale, IL

Sources for this page

Verify at the official NPI Registry.