Individual provider Active NPI

John A. Isch, M.D.

  • Surgery Physician
  • Indianapolis, IN
National Provider Identifier
1740289255
Registry record updated Aug 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
01048985A Issued in IN
Practice address
8240 Naab Road
Suite 100
Indianapolis, IN 46260
Phone
(317) 338-7450
Fax
(317) 338-7457
NPI assigned
Jul 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 01048985A IN Primary

Addresses

Primary practice location

8240 Naab Road
Suite 100
Indianapolis, IN 46260

Mailing address

11541 E Winchester LN
Ellicott City, MD 21042-2040
Phone (833) 220-2685

Other identifiers 2

IdentifierTypeStateIssuer
200195540MedicaidIN
1009224OtherINTRICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20101021001401 IN Practitioner - General Surgery 5193918142 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Indiana University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Naab Road Surgical Group PCGroup PAC ID 9133170848, 16 clinicians

Practice addresses (Care Compare)

8240 Naab Rd
Suite 100
Indianapolis, IN 46260-1985
Phone (317) 338-7450

Hospital & facility affiliations

  • Ascension St Vincent Hospital Hospital, Indianapolis, IN, CCN 150084
  • Ascension St Vincent Kokomo Hospital, Kokomo, IN, CCN 150010
  • Ascension St Vincent Carmel Hospital, Carmel, IN, CCN 150157
  • Hendricks Regional Health Hospital, Danville, IN, CCN 150005
  • Ascension St Vincent Anderson Hospital, Anderson, IN, CCN 150088

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01048985AINMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Naab Road Surgical Group PC Surgery CurrentSince Jul 1, 2003 Accepting new patients
Major Hospital Past Accepting new patients

Locations

8240 Naab Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 338-7450

Organizations & group practices 2

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533254400000",
    "number": "1740289255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11541 E WINCHESTER LN",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210422040",
            "telephone_number": "833-220-2685",
            "fax_number": "317-947-0839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8240 NAAB ROAD",
            "address_2": "SUITE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46260",
            "telephone_number": "317-338-7450",
            "fax_number": "317-338-7457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISCH",
        "first_name": "JOHN",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2018-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "01048985A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200195540",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "1009224",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.