Active NPI
Ricky D. Isernhagen, M.D.
- Retina Specialist (Ophthalmology) Physician
- Lexington, KY
National Provider Identifier
1700881919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Retina Specialist (Ophthalmology) Physician
- License
- 25118
- Practice address
- 120 N Eagle Creek Dr
Ste 500
Lexington, KY 40509-1827 - Phone
- (859) 263-3900
- Fax
- (859) 263-3757
- NPI assigned
- Jun 15, 2005
- Last updated
- May 8, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 25118 | KY | |
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | 25118 | KY | Primary |
Addresses
Primary practice location
120 N Eagle Creek Dr
Ste 500
Lexington, KY 40509-1827
Mailing address
120 N Eagle Creek Dr
Ste 500
Lexington, KY 40509-1827
Phone (859) 263-3900
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0678897 | Medicaid | OH | |
| 0095007000 | Medicaid | WV | |
| 64251184 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101015001310 | KY | Practitioner - Ophthalmology | 9436342953 |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25118 | KY | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard a Eiferman, PSC | Ophthalmology | Past | Accepting new patients |
Interoperability endpoints
- rick.isernhagen@direct.rak.nextgenshare.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ophthalmology Physician
- Louisville, KY
- NPI 1508159302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494201600000",
"number": "1700881919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 N EAGLE CREEK DR",
"address_2": "STE 500",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405091827",
"telephone_number": "859-263-3900",
"fax_number": "859-263-3757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 N EAGLE CREEK DR",
"address_2": "STE 500",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405091827",
"telephone_number": "859-263-3900",
"fax_number": "859-263-3757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISERNHAGEN",
"first_name": "RICKY",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-15",
"last_updated": "2017-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "KY",
"license": "25118",
"primary": false
},
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "KY",
"license": "25118",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0678897",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0095007000",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64251184",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.