Active NPI
Jeffrey S Isen, MD
- Urology Physician
- Framingham, MA
National Provider Identifier
1982672267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 54840
- Practice address
- 16 Woodward Rd
Framingham, MA 01701-7854 - Phone
- (508) 846-5993
- NPI assigned
- Mar 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 54840 | MA | Primary |
Addresses
Primary practice location
16 Woodward Rd
Framingham, MA 01701-7854
Mailing address
16 Woodward Rd
Framingham, MA 01701-7854
Phone (508) 846-5993
Other identifiers 18
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 042472266 | Other | PRIVATE HEALTHCARE SYSTEM | |
| 1060773 | Other | FIRST HEALTH | |
| 042472266 | Other | HEALTHCARE VALUE MNGMT | |
| 3100316 | Medicaid | MA | |
| 784031 | Other | MVP HEALTH CARE | |
| 7869344 | Other | AETNA US HEALTHCARE | |
| J12368 | Other | BLUE SHIELD INDEMNITY | |
| 1900126 | Other | EVERCARE | |
| 29185 | Other | CHILDRENS MEDICAL SEC | |
| 29185 | Other | HEALTHY START | |
| J12368 | Other | BLUE CARE ELECT | |
| J12368 | Other | MEDICARE B | |
| 3100316 | Other | MEDICAID WELFARE | |
| 5169476 | Other | CIGNA HEALTH PLAN | |
| 042472266 | Other | ONE HEALTH PLAN | |
| 9900197 | Other | FALLON COMM HEALTH PLAN | |
| AA6078 | Other | HARVARD PILGRIM HLTH CARE | |
| J12368 | Other | BLUE SHIELD HMO BLUE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 54840 | MA | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reliant Medical Group, Inc | Family Medicine | 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.
-
- Family Medicine Physician
- Worcester, MA
- NPI 1720017528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331164800000",
"number": "1982672267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 WOODWARD RD",
"city": "FRAMINGHAM",
"state": "MA",
"postal_code": "017017854",
"telephone_number": "508-846-5993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 WOODWARD RD",
"city": "FRAMINGHAM",
"state": "MA",
"postal_code": "017017854",
"telephone_number": "508-846-5993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISEN",
"first_name": "JEFFREY",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-10",
"last_updated": "2012-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MA",
"license": "54840",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE HEALTHCARE SYSTEM",
"identifier": "042472266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "1060773",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHCARE VALUE MNGMT",
"identifier": "042472266",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3100316",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP HEALTH CARE",
"identifier": "784031",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE",
"identifier": "7869344",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD INDEMNITY",
"identifier": "J12368",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVERCARE",
"identifier": "1900126",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHILDRENS MEDICAL SEC",
"identifier": "29185",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHY START",
"identifier": "29185",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE ELECT",
"identifier": "J12368",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE B",
"identifier": "J12368",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID WELFARE",
"identifier": "3100316",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTH PLAN",
"identifier": "5169476",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ONE HEALTH PLAN",
"identifier": "042472266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON COMM HEALTH PLAN",
"identifier": "9900197",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HLTH CARE",
"identifier": "AA6078",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD HMO BLUE",
"identifier": "J12368",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Framingham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.