Individual provider Active NPI

Wahib E Isac, MD

  • Urology Physician
  • Avon, OH
National Provider Identifier
1821244377
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
35.095967 Issued in OH
Practice address
33100 Cleveland Clinic Blvd./Avw2-2 Richard E. Jacobs H
Avon, OH 44011
Phone
(440) 695-4000
Fax
(440) 695-4619
NPI assigned
Aug 15, 2008
Last updated
Feb 21, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 205660 LA
Urology Physician 208800000X 35.095967 OH Primary
Pediatric Urology Physician 2088P0231X 35095967 OH

Addresses

Primary practice location

33100 Cleveland Clinic Blvd./Avw2-2 Richard E. Jacobs H
Avon, OH 44011

Mailing address

33100 Cleveland Clinic Blvd./Avw2-2 Richard E. Jacobs H
Avon, OH 44011
Phone (440) 695-4000

Other identifiers 1

IdentifierTypeStateIssuer
2306251MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20101027000134 OH Practitioner - Urology 5294929907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

18101 Lorain Ave
Cleveland, OH 44111-5612
Phone (216) 671-2205

33100 Cleveland Clinic Blvd
Avon, OH 44011-1390
Phone (440) 695-4000

33300 Cleveland Clinic Blvd
Avon, OH 44011-1172
Phone (440) 695-5000

8950 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-8950

9500 Euclid Ave
Cleveland, OH 44195-0001

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
205660LAMDUrology Physician
35.095967OHMDUrology Physician
35095967OHMDPediatric Urology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Cleveland Clinic Foundation CurrentSince Jan 2, 2017 Accepting new patients
The Cleveland Clinic Foundation Past Accepting new patients

Locations

33100 Cleveland Clinic Blvd
#22
Avon, OH 44011
Phone (440) 695-4000

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1218758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1821244377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33100 CLEVELAND CLINIC BLVD./AVW2-2 RICHARD E. JACOBS H",
            "city": "AVON",
            "state": "OH",
            "postal_code": "44011",
            "telephone_number": "440-695-4000",
            "fax_number": "440-695-4619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33100 CLEVELAND CLINIC BLVD./AVW2-2 RICHARD E. JACOBS H",
            "city": "AVON",
            "state": "OH",
            "postal_code": "44011",
            "telephone_number": "440-695-4000",
            "fax_number": "440-695-4619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAC",
        "first_name": "WAHIB",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-15",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "LA",
            "license": "205660",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OH",
            "license": "35.095967",
            "primary": true
        },
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "OH",
            "license": "35095967",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2306251",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, OH

Sources for this page

Verify at the official NPI Registry.