Active NPI
John Odeh Issis, M.D.
- Surgery Physician
- Bessemer, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 13626
- Practice address
- 975 9TH Ave SW
Suite 200
Bessemer, AL 35022-4527 - Phone
- (205) 481-7485
- Fax
- (205) 481-7494
- NPI assigned
- Nov 13, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 13626 | AL | Primary |
Addresses
Primary practice location
975 9TH Ave SW
Suite 200
Bessemer, AL 35022-4527
Mailing address
975 9TH Ave SW
Suite 200
Bessemer, AL 35022-4527
Phone (205) 481-7485
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00030139 | Medicaid | AL | |
| 020045510 | Other | AL | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5000 Medical W Way
Suite 302
Bessemer, AL 35022-7082
Phone (205) 481-7485
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.67 of 100
- Quality
- 80.18
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 23 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13626 | AL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical West Hospital Authority, an Affiliate of Uab Health System | Current | Accepting new patients | |
| Medical West Hospital Authority, an Affiliate of Uab Health System | Surgery | Current | Accepting new patients |
Locations
5000 Medical West Way
Ste 302
Bessemer, AL 35022
Phone (205) 201-1501
985 9th Ave SW
Ste 507
Bessemer, AL 35022
Phone (205) 481-7485
985 9th Ave SW
Ste 102
Bessemer, AL 35022
Phone (205) 481-4588
995 9th Ave SW
Bessemer, AL 35022
Phone (205) 481-7155
5000 Medical West Way
Bessemer, AL 35022
Phone (205) 481-7312
Interoperability endpoints
- issis.john@direct.uabmw.org
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.
-
- Multi-Specialty Clinic/Center
- Bessemer, AL
- NPI 1952483729
Surgery
-
- General Acute Care Hospital
- Bessemer, AL
- NPI 1790896710
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bessemer, AL
- NPI 1790896710
-
- General Acute Care Hospital
- Birmingham, AL
- NPI 1154435824
-
- General Acute Care Hospital
- Birmingham, AL
- NPI 1447145818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238025600000",
"number": "1841361672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "975 9TH AVE SW",
"address_2": "SUITE 200",
"city": "BESSEMER",
"state": "AL",
"postal_code": "350224527",
"telephone_number": "205-481-7485",
"fax_number": "205-481-7494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "975 9TH AVE SW",
"address_2": "SUITE 200",
"city": "BESSEMER",
"state": "AL",
"postal_code": "350224527",
"telephone_number": "205-481-7485",
"fax_number": "205-481-7494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISSIS",
"first_name": "JOHN",
"middle_name": "ODEH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-13",
"last_updated": "2009-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AL",
"license": "13626",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00030139",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "020045510",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bessemer, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2009; 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.