Individual provider Active NPI

Isaac Christopher Payne, D.O.

  • Colon & Rectal Surgery Physician
  • Mobile, AL
National Provider Identifier
1902168552
Registry record updated Jun 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
DO1385 Issued in AL
Practice address
3 Mobile Infirmary Cir Ste 305
Mobile, AL 36607-3515
Phone
(251) 433-5557
NPI assigned
Jun 11, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X DO1385 AL Primary

Addresses

Primary practice location

3 Mobile Infirmary Cir Ste 305
Mobile, AL 36607-3515

Mailing address

3 Mobile Infirmary Cir Ste 305
Mobile, AL 36607-3515
Phone (251) 433-5557

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150318001297 AL Practitioner - Colorectal Surgery (Proctology)Practitioner - General SurgeryPractitioner - Emergency Medicine 8527206804 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imc-Cancer Surgery of Mobile, LLCGroup PAC ID 1557550589, 23 clinicians

Practice addresses (Care Compare)

3 Mobile Infirmary Circle
Suite 305
Mobile, AL 36607-3584
Phone (251) 433-5557

Hospital & facility affiliations

  • Mobile Infirmary Medical Center Hospital, Mobile, AL, CCN 010113
  • Monroe County Hospital Hospital, Monroeville, AL, CCN 011310
  • Monroe County Hospital Hospital, Monroeville, AL, CCN 010120
  • Thomas Hospital Hospital, Fairhope, AL, CCN 010100

Merit-based Incentive Payment System (MIPS)

Final score
95.26 of 100Reported as group
Promoting interoperability
93
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy162
Upper gastrointestinal (GI) endoscopy for acid reflux47
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of South Alabama Current Accepting new patients
Imc-Cancer Surgery of Mobile, LLC CurrentSince Aug 1, 2018 Accepting new patients
University of South Alabama CurrentSince Nov 8, 2014 Accepting new patients
University of South Alabama Mitchell Cancer Institute CurrentSince Nov 8, 2014 Accepting new patients

Locations

3 Mobile Infirmary Cir
Ste 305
Mobile, AL 36607
Phone (251) 433-5557

2451 Fillingim St
Mobile, AL 36617
Phone (251) 434-3711

Interoperability endpoints

  • Direct secure messaging: ipayne32658@directinfirmaryhealth.org

Organizations & group practices 4

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 3

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": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1902168552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MOBILE INFIRMARY CIR STE 305",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073515",
            "telephone_number": "251-433-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MOBILE INFIRMARY CIR STE 305",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073515",
            "telephone_number": "251-433-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "ISAAC",
        "middle_name": "CHRISTOPHER",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-11",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "AL",
            "license": "DO1385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.