Individual provider Active NPI

Isaac Freeborn, MD

  • Internal Medicine Physician
  • Oakdale, LA
National Provider Identifier
1972705333
Registry record updated Dec 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD201355 Issued in LA
Practice address
1507 E Whatley Rd
Oakdale, LA 71463-2318
Phone
(318) 335-4070
NPI assigned
Jun 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2010

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD201355 LA Primary
Pediatrics Physician 208000000X MD201355 LA
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X MD201355 LA
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X MD201355 LA
Addiction Medicine (Internal Medicine) Physician 207RA0401X MD201355 LA

Addresses

Primary practice location

1507 E Whatley Rd
Oakdale, LA 71463-2318

Mailing address

PO Box 5050
Oakdale, LA 71463-5050
Phone (318) 335-4070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 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
I20131122000664 TX Practitioner - Internal MedicinePractitioner - Pediatric MedicinePractitioner - Emergency Medicine 8426149527 Reassigns benefits to 3 organizations
I20231122003381 NM Practitioner - Emergency Medicine 8426149527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Medical College of Ohio, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Las Cruces HB Medical Services LLCGroup PAC ID 8123473600, 157 clinicians

Practice addresses (Care Compare)

4311 E Lohman Ave
Las Cruces, NM 88011-8255
Phone (575) 556-7455

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
48.64 of 100Reported as group
Quality
9.4
Improvement activities
40
Cost
82.91

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD201355LAMDAddiction Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Round Table Physicians Group PLLC Emergency Medical Services CurrentSince Nov 1, 2024 Accepting new patients
Las Cruces HB Medical Services LLC CurrentSince Oct 17, 2023 Accepting new patients
TK Emergency Physicians Group PLLC CurrentSince Jun 1, 2019 Accepting new patients
Excellence Emergency Hospital Physician PLLC CurrentSince Nov 26, 2023 Accepting new patients
Round Table Specialist Group, PLLC Current Accepting new patients

Locations

4311 E Lohman Ave
Las Cruces, NM 88011
Phone (505) 556-6800

2811 N Main St
Las Cruces, NM 88001
Phone (575) 526-0080

5701 W Slaughter Ln
Bldg G
Austin, TX 78749
Phone (512) 651-5787

14120 FM 2100 Rd
Crosby, TX 77532
Phone (281) 328-7770

15149 Wallisville Rd
Houston, TX 77049
Phone (832) 400-2396

1014 Wirt Rd
Ste 200
Houston, TX 77055
Phone (713) 527-5000

11103 Westheimer Rd
Houston, TX 77042
Phone (832) 708-3651

800 W Central Texas Expy
Killeen, TX 76541
Phone (254) 220-4117

11233 Shadow Creek Pkwy
Ste 313
Pearland, TX 77584
Phone (346) 352-5100

22678 Highway 59
Porter, TX 77365
Phone (281) 354-4654

Organizations & group practices 5

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 5

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": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291161600000",
    "number": "1972705333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5050",
            "city": "OAKDALE",
            "state": "LA",
            "postal_code": "714635050",
            "telephone_number": "318-335-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 E WHATLEY RD",
            "city": "OAKDALE",
            "state": "LA",
            "postal_code": "714632318",
            "telephone_number": "318-335-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEBORN",
        "first_name": "ISAAC",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-05",
        "last_updated": "2010-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD201355",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "MD201355",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "LA",
            "license": "MD201355",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "LA",
            "license": "MD201355",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "LA",
            "license": "MD201355",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakdale, LA

Sources for this page

Verify at the official NPI Registry.