NPIMap

Individual provider Active NPI

Roger Ishac, MD

  • Cardiovascular Disease Physician
  • Plattsburgh, NY
National Provider Identifier
1902981871
Registry record updated Aug 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
241066 Issued in NY
Practice address
75 Beekman St.
CVPH Cardiology
Plattsburgh, NY 12901
Phone
(518) 563-2404
NPI assigned
Oct 26, 2006
Last updated
Aug 14, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MT189586 PA
Internal Medicine Physician 207R00000X MD429478 PA
Cardiovascular Disease Physician 207RC0000X 042.0013217 VT
Cardiovascular Disease Physician 207RC0000X 241066 NY Primary

Addresses

Primary practice location

75 Beekman St.
CVPH Cardiology
Plattsburgh, NY 12901

Mailing address

75 Beekman St.
CVPH Cardiology
Plattsburgh, NY 12901
Phone (518) 563-2404

Other identifiers 2

IdentifierTypeStateIssuer
MT189586OtherPAPA LICENSING DEPARTMENT
MD429478OtherPAPA MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NY, VT3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20061221000227 MA Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 6709886799 Reassigns benefits to 1 organization
I20081203000033 NY Practitioner - Interventional CardiologyPractitioner - Internal Medicine 6709886799 Reassigns benefits to 5 organizations
I20150909001458 VT Practitioner - Internal Medicine 6709886799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Elizabethtown Community HospitalGroup PAC ID 3577554138, shared by 3 NPIs, 62 clinicians

Practice addresses (Care Compare)

210 Cornelia St
Suite 401
Plattsburgh, NY 12901-2318
Phone (518) 314-3460

75 Beekman St
Plattsburgh, NY 12901-1438
Phone (518) 562-7100

75 Park St
Elizabethtown, NY 12932-2300
Phone (518) 673-6377

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting57
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD429478PAMDInternal Medicine Physician
241066NYMDCardiovascular Disease Physician
042.0013217VTMDCardiovascular Disease Physician
MT189586PAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabethtown Community Hospital CurrentSince Jan 28, 2026 Accepting new patients
Champlain Valley Physicians Hospital Medical Center Internal Medicine CurrentSince Nov 1, 2015 Accepting new patients
Elizabethtown Community Hospital CurrentSince Feb 4, 2026 Accepting new patients
Mass General Brigham Medical Group Northern Massachusetts Inc Internal Medicine CurrentSince Jan 15, 2015 Accepting new patients
University of Vermont Medical Center Inc Internal Medicine CurrentSince Jul 29, 2015 Accepting new patients
Elizabethtown Community Hospital CurrentSince Jan 28, 2026 Accepting new patients
Champlain Valley Physicians Hospital Medical Center Past Accepting new patients
Atlantic Professional Services of Rhode Island Incorporated Past Accepting new patients

Locations

1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950

75 Beekman St
Plattsburgh, NY 12901
Phone (518) 562-7100

1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531

111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/elizabe-e663f886
  • Direct secure messaging: rishac131845@direct.uvmhealth.org

Organizations & group practices 9

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 7

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439510400000",
    "number": "1902981871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 BEEKMAN ST.",
            "address_2": "CVPH CARDIOLOGY",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "12901",
            "telephone_number": "518-563-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 BEEKMAN ST.",
            "address_2": "CVPH CARDIOLOGY",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "12901",
            "telephone_number": "518-563-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISHAC",
        "first_name": "ROGER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2015-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MT189586",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD429478",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VT",
            "license": "042.0013217",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "241066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA LICENSING DEPARTMENT",
            "identifier": "MT189586",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA MEDICAL LICENSE",
            "identifier": "MD429478",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

Verify at the official NPI Registry.