NPIMap

Individual provider Active NPI

Stuart L. Isaacson, DO

  • Family Medicine Physician
  • West Lafayette, IN
National Provider Identifier
1710007398
Registry record updated Jun 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02005007A Issued in IN
Practice address
1400 W State St Ste C
West Lafayette, IN 47906-3438
Phone
(765) 494-0111
Fax
(765) 496-6656
NPI assigned
Mar 29, 2007
Last updated
Jun 20, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 02005007A IN Primary
Occupational Medicine Physician 2083X0100X 46310 WI

Addresses

Primary practice location

1400 W State St Ste C
West Lafayette, IN 47906-3438

Mailing address

1400 West State Street
BLDG B, Suite C
West Lafayette, IN 47907
Phone (765) 494-0111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IA, TX3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20100115000760 WI Practitioner - Family PracticePractitioner - Preventive Medicine 9234271024 Reassigns benefits to 3 organizations
I20250402000758 IA Practitioner - Family PracticePractitioner - Pediatric MedicinePractitioner - Geriatric Medicine 9234271024 Reassigns benefits to 2 organizations
I20260416000058 TX Practitioner - Family Practice 9234271024 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Choctaw Nation of OklahomaGroup PAC ID 1759294838, 271 clinicians
Hegg Memorial HospitalGroup PAC ID 5193718757, shared by 4 NPIs, 44 clinicians

Practice addresses (Care Compare)

1201 W Liberty Rd
Choctaw Nation Health Care Atoka
Atoka, OK 74525-1639
Phone (539) 316-6391

1202 21St Ave
Rock Valley, IA 51247-1420
Phone (712) 476-8000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46310WIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Group Health Cooperative of South Central Wisconsin CurrentSince Jun 10, 2024 Accepting new patients
Hegg Memorial Hospital CurrentSince Mar 1, 2025 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc Family Medicine CurrentSince Dec 5, 2011 Accepting new patients
Hegg Memorial Hospital Family Medicine CurrentSince Mar 1, 2025 Accepting new patients
Moundview Memorial Hospital & Clinics, Inc. CurrentSince Oct 10, 2022 Accepting new patients
Moundview Memorial Hospital & Clinics, Inc Family Medicine CurrentSince Oct 10, 2022 Accepting new patients
Hegg Memorial Hospital Current Accepting new patients
Hegg Medical Clinic Family Medicine Past Accepting new patients

Locations

1202 21st Ave
Rock Valley, IA 51247
Phone (712) 476-8000

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

3051 Cahill Main
Fitchburg, WI 53711
Phone (608) 257-9700

402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331

1265 John Q Hammons Dr
Madison, WI 53717

8202 Excelsior Dr
Madison, WI 53717
Phone (608) 831-1766

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

Interoperability endpoints

  • Direct secure messaging: sisaacson741295@direct.emplifyhealth.org

Organizations & group practices 9

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497916800000",
    "number": "1710007398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 WEST STATE STREET",
            "address_2": "BLDG B, SUITE C",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "47907",
            "telephone_number": "765-494-0111",
            "fax_number": "765-496-6656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W STATE ST STE C",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479063438",
            "telephone_number": "765-494-0111",
            "fax_number": "765-496-6656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAACSON",
        "first_name": "STUART",
        "middle_name": "L.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2017-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02005007A",
            "primary": true
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "WI",
            "license": "46310",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lafayette, IN

Sources for this page

Verify at the official NPI Registry.