Individual provider Active NPI

Graham Michael Isaacson

  • Family Medicine Physician
  • Rochelle, IL
National Provider Identifier
1861079832
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036171629 Issued in IL
Practice address
900 N 2ND St
Rochelle, IL 61068-1764
Phone
(815) 562-2181
NPI assigned
Mar 25, 2021
Last updated
Aug 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036171629 IL Primary

Addresses

Primary practice location

900 N 2ND St
Rochelle, IL 61068-1764

Mailing address

900 N 2ND St
Rochelle, IL 61068-1764
Phone (815) 562-2181

Other practice location 1

900 N 2nd St Ste 200
Rochelle, IL 61068-1764
Phone (815) 562-2181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20240903004052 IL Practitioner - Family Practice 5890150312 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rochelle Community Hospital AssociationGroup PAC ID 4789581828, shared by 3 NPIs, 27 clinicians

Practice addresses (Care Compare)

900 N 2ND St
Rochelle, IL 61068-1764
Phone (815) 562-2181

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.05 of 100Reported as apm
Quality
72.1
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036171629ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rochelle Community Hospital Association CurrentSince Aug 15, 2024 Accepting new patients
Rochelle Community Hospital Association Family Medicine Current Accepting new patients
Rochelle Community Hospital Association CurrentSince Aug 15, 2024 Accepting new patients

Locations

900 N 2nd St
Rochelle, IL 61068
Phone (815) 562-2181

900 N 2nd St
Ste 200
Rochelle, IL 61068
Phone (815) 562-2181

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

Hospital & facility affiliations 4

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": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1861079832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N 2ND ST",
            "city": "ROCHELLE",
            "state": "IL",
            "postal_code": "610681764",
            "telephone_number": "815-562-2181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N 2ND ST",
            "city": "ROCHELLE",
            "state": "IL",
            "postal_code": "610681764",
            "telephone_number": "815-562-2181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 N 2nd St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Rochelle",
            "state": "IL",
            "postal_code": "610681764",
            "country_code": "US",
            "telephone_number": "815-562-2181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISAACSON",
        "first_name": "GRAHAM",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-25",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036171629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochelle, IL

Sources for this page

Verify at the official NPI Registry.