Individual provider Active NPI

Isha A Emhoff, M.D.

  • Surgery Physician
  • Worcester, MA
National Provider Identifier
1871528950
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
154913 Issued in MA
Practice address
1 Eaton PL Ste 22
Worcester, MA 01608-1232
Phone
(508) 363-6881
Fax
(508) 363-7591
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 154913 MA Primary

Addresses

Primary practice location

1 Eaton PL Ste 22
Worcester, MA 01608-1232

Mailing address

1 Eaton PL Ste 22
Worcester, MA 01608-1232
Phone (508) 363-6881

Other identifiers 1

IdentifierTypeStateIssuer
3187390MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041215000509 MA Practitioner - General SurgeryPractitioner - Surgical Oncology 9032176623
I20250902001750 CT Practitioner - General Surgery 9032176623 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

133 Scovill St
Suite 102
Waterbury, CT 06706-1127
Phone (203) 709-5752

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Sep 22, 2025 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Sep 22, 2025 Accepting new patients

Locations

114 Woodland St
Fl 4
Hartford, CT 06105

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

160 Robbins St
Waterbury, CT 06708
Phone (203) 573-7284

133 Scovill St
Ste 102
Waterbury, CT 06706
Phone (203) 270-5575

133 Scovill St
Ste 303
Waterbury, CT 06706
Phone (203) 575-1811

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1871528950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EATON PL STE 22",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081232",
            "telephone_number": "508-363-6881",
            "fax_number": "508-363-7591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EATON PL STE 22",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081232",
            "telephone_number": "508-363-6881",
            "fax_number": "508-363-7591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMHOFF",
        "first_name": "ISHA",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "154913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3187390",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.