Active NPI
Graham Michael Isaacson
- Family Medicine Physician
- Rochelle, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036171629
- Practice address
- 900 N 2ND St
Rochelle, IL 61068-1764 - Phone
- (815) 562-2181
- NPI assigned
- Mar 25, 2021
- Last updated
- Aug 20, 2024
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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 Association
Practice addresses (Care Compare)
900 N 2ND St
Rochelle, IL 61068-1764
Phone (815) 562-2181
Hospital & facility affiliations
- Osf Healthcare Home Care
- Rochelle Community Hospital
- Northwestern Medicine Kishwaukee Hospital
- Saint Anthony Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.05 of 100
- Quality
- 72.1
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036171629 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rochelle Community Hospital Association | Current | Accepting new patients | |
| Rochelle Community Hospital Association | Family Medicine | Current | Accepting new patients |
| Rochelle Community Hospital Association | Current | 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.
-
- Family Medicine Physician
- Rochelle, IL
- NPI 1568518322
-
- Critical Access Hospital
- Rochelle, IL
- NPI 1821053216
-
- Medicare Defined Swing Bed Hospital Unit
- Rochelle, IL
- NPI 1346207669
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northwestern Medicine Kishwaukee Hospital
- General Acute Care Hospital
- Dekalb, IL
- NPI 1669534517
-
- Critical Access Hospital
- Rochelle, IL
- NPI 1821053216
-
dba Saint Anthony Med. Ctr for Home Care
- Home Health Agency
- Loves Park, IL
- NPI 1023051992
-
dba OSF Saint Anthony Medical Center
- General Acute Care Hospital
- Rockford, IL
- NPI 1790739977
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.