Individual provider Active NPI

Gerald A. Isenberg, M.D.

  • Colon & Rectal Surgery Physician
  • Paoli, PA
National Provider Identifier
1821018532
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
MD037695E Issued in PA
Practice address
255 W Lancaster Ave Ste 332
Paoli, PA 19301-1766
Phone
(610) 647-3077
Fax
(610) 993-0668
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD037695E PA
Colon & Rectal Surgery Physician 208C00000X MD037695E PA Primary

Addresses

Primary practice location

255 W Lancaster Ave Ste 332
Paoli, PA 19301-1766

Mailing address

3803 W Chester Pike Ste 160
Newtown Square, PA 19073-2336
Phone (610) 647-3077

Other practice location 1

1100 Walnut St
Suite 702
Philadelphia, PA 19107-5563
Phone (215) 955-5869

Other identifiers 2

IdentifierTypeStateIssuer
8667101MedicaidNJ
001430759MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20050216000256 PA Practitioner - Colorectal Surgery (Proctology) 8628020815 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
Icahn School of Medicine at Mount Sinai, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Main Line HealthcareGroup PAC ID 1951215201, 1,154 clinicians

Practice addresses (Care Compare)

255 W Lancaster Ave
Suite 331 Paoli Mob III
Paoli, PA 19301-1608
Phone (610) 325-3880

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy127

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD037695EPAMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson University Physicians Surgery CurrentSince Oct 15, 2001 Accepting new patients
Main Line Healthcare Surgery CurrentSince Jan 30, 2026 Accepting new patients
Jefferson University Physicians Past Accepting new patients

Locations

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

3803 West Chester Pike
Ste 160
Newtown Square, PA 19073
Phone (484) 337-1530

255 W Lancaster Ave
Ste 332
Paoli, PA 19301
Phone (610) 641-9011

255 W Lancaster Ave
Ste 331
Paoli, PA 19301
Phone (484) 527-2232

1100 Walnut St
Ste 500
Philadelphia, PA 19107
Phone (215) 955-6750

615 Chestnut St
Philadelphia, PA 19106

1015 Chestnut St
Ste 601
Philadelphia, PA 19107
Phone (215) 503-2664

1100 Walnut St
Ste 702
Philadelphia, PA 19107
Phone (215) 955-2165

1100 Walnut St
Fl 5
Philadelphia, PA 19107
Phone (215) 955-6750

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

Organizations & group practices 3

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 2

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1821018532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3803 W CHESTER PIKE STE 160",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190732336",
            "telephone_number": "610-647-3077",
            "fax_number": "610-993-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W LANCASTER AVE STE 332",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011766",
            "telephone_number": "610-647-3077",
            "fax_number": "610-993-0668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Walnut St",
            "address_2": "Suite 702",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191075563",
            "country_code": "US",
            "telephone_number": "215-955-5869",
            "fax_number": "215-955-2404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISENBERG",
        "first_name": "GERALD",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD037695E",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "PA",
            "license": "MD037695E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8667101",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001430759",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paoli, PA

Sources for this page

Verify at the official NPI Registry.