NPIMap

Individual provider Active NPI

Ivy C. Issa, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Aurora, CO
National Provider Identifier
1891796165
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
DR.0068779 Issued in CO
Practice address
13650 E Mississippi Ave
Aurora, CO 80012-3561
Phone
(303) 381-1234
NPI assigned
Aug 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X DR.0068779 CO Primary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X DR.0068779 CO
Internal Medicine Physician 207R00000X DR.0068779 CO

Addresses

Primary practice location

13650 E Mississippi Ave
Aurora, CO 80012-3561

Mailing address

8289 E Lowry Blvd
Denver, CO 80230-7256
Phone (303) 398-6222

Other names 1

  • Ivy C Pandit Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, CO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101109001473 CA Practitioner - Internal MedicinePractitioner - Hospice/Palliative CarePractitioner - Geriatric Medicine 0648248096 Reassigns benefits to 2 organizations
I20220822001515 CO Practitioner - Geriatric MedicinePractitioner - Hospice/Palliative Care 0648248096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Hospice/Palliative Care
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wisdom Health PCGroup PAC ID 4284762501, 11 clinicians

Practice addresses (Care Compare)

350 Ponca PL
Boulder, CO 80303-3828
Phone (303) 938-1110

Hospital & facility affiliations

  • Tru Community Care - Lafayette Hospice, Lafayette, CO, CCN 061501
  • Dignity Hospice of Colorado, LLC Hospice, Thornton, CO, CCN 061578
  • Trail Winds Hospice Hospice, Boulder, CO, CCN 061602
  • Longs Peak Hospital Hospital, Longmont, CO, CCN 060128
  • Boulder Community Health Hospital, Boulder, CO, CCN 060027

Merit-based Incentive Payment System (MIPS)

Final score
86.77 of 100Reported as group
Quality
83.16
Improvement activities
40
Cost
72.81

Merit-based Incentive Payment System (MIPS)

Final score
89.06 of 100Reported as group
Quality
89.53
Promoting interoperability
100
Improvement activities
40
Cost
74

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Faculty Medical Group Inc Internal Medicine CurrentSince Jan 7, 2017 Accepting new patients
Portercare Adventist Health System CurrentSince Sep 1, 2022 Accepting new patients
Centro de Salud de la Comunidad de San Ysidro, Inc. Current Accepting new patients
Centro de Salud de la Comunidad de San Ysidro Inc CurrentSince Jun 3, 2024 Accepting new patients
Centro de Salud de la Comunidad de San Ysidro Inc CurrentSince Jun 3, 2024 Accepting new patients
Wisdom Health PC Geriatric Medicine CurrentSince Oct 1, 2024 Accepting new patients
Portercare Adventist Health System CurrentSince Sep 1, 2022 Accepting new patients
Portercare Adventist Health System Current Accepting new patients
Polk Emergency Physicians LLC Past Accepting new patients
Emcare Physician Providers, Inc. Past Accepting new patients

Locations

1637 Third Ave
Ste B
Chula Vista, CA 91911
Phone (619) 425-1780

26520 Cactus Ave
Moreno Valley, CA 92555
Phone (951) 486-5610

1136 D Ave
National City, CA 91950
Phone (619) 336-2300

1601 Precision Park Ln
San Ysidro, CA 92173
Phone (619) 205-4585

3364 Beyer Blvd
Ste 102
San Ysidro, CA 92173
Phone (702) 617-1227

1666 Precision Park Ln
San Ysidro, CA 92173
Phone (619) 428-5533

2919 Valmont Rd
Ste 204
Boulder, CO 80301
Phone (303) 938-1110

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

1551 Professional Ln
Ste 235A
Longmont, CO 80501
Phone (303) 938-1110

2551 W 84th Ave
Westminster, CO 80031
Phone (303) 202-1280

Interoperability endpoints

  • Direct secure messaging: iissa54810@syhealth.direct-ci.com
  • Direct secure messaging: ivy.issa@96713091579908.direct.elationemr.com
  • Direct secure messaging: ipandit124097@direct.llu.edu

Organizations & group practices 10

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.

Hospital & facility affiliations 38

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1891796165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8289 E LOWRY BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802307256",
            "telephone_number": "303-398-6222",
            "fax_number": "720-673-4851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13650 E MISSISSIPPI AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800123561",
            "telephone_number": "303-381-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISSA",
        "first_name": "IVY",
        "middle_name": "C.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CO",
            "license": "DR.0068779",
            "primary": true
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "CO",
            "license": "DR.0068779",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR.0068779",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IVY",
            "last_name": "PANDIT",
            "middle_name": "C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.