Individual provider Active NPI

Hacer Isildak, MD

  • Ophthalmology Physician
  • Miami, FL
National Provider Identifier
1922531144
Registry record updated Oct 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MFC1790 Issued in FL
Practice address
1638 NW 10TH Ave
McKnight BLDG. Suite 110
Miami, FL 33136-1015
Phone
(305) 482-4774
NPI assigned
Apr 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 13819 ZZ
Ophthalmology Physician 207W00000X MFC1790 FL Primary

Addresses

Primary practice location

1638 NW 10TH Ave
McKnight BLDG. Suite 110
Miami, FL 33136-1015

Mailing address

1638 NW 10TH Ave
McKnight BLDG. Suite 110
Miami, FL 33136-1015
Phone (305) 482-4774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13819ZZMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami Past Accepting new patients

Organizations & group practices 1

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": "1491350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507248000000",
    "number": "1922531144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1638 NW 10TH AVE",
            "address_2": "MCKNIGHT BLDG. SUITE 110",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361015",
            "telephone_number": "305-482-4774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1638 NW 10TH AVE",
            "address_2": "MCKNIGHT BLDG. SUITE 110",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361015",
            "telephone_number": "305-482-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISILDAK",
        "first_name": "HACER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-05",
        "last_updated": "2017-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "ZZ",
            "license": "13819",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "MFC1790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.