Individual provider Active NPI

Isaac Dor, M.D.

  • Cardiovascular Disease Physician
  • Gurnee, IL
National Provider Identifier
1982718409
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036101942 Issued in IL
Practice address
1790 Nations Dr Ste 111
Gurnee, IL 60031-9175
Phone
(224) 656-5867
NPI assigned
Aug 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 036101942 IL Primary

Addresses

Primary practice location

1790 Nations Dr Ste 111
Gurnee, IL 60031-9175

Mailing address

PO Box 2257
Chesterton, IN 46304-0357
Phone (219) 926-8320

Other identifiers 2

IdentifierTypeStateIssuer
036101942MedicaidIL
708520OtherILBCBS OF IL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, FL2 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
I20091207000630 IL Practitioner - Cardiovascular Disease (Cardiology) 6103965918 Reassigns benefits to 2 organizations
I20200305000182 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 6103965918 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stuart Cardiology Group LLCGroup PAC ID 7113959313, 43 clinicians
Martin Memorial Medical Center IncGroup PAC ID 2961300611, 514 clinicians

Practice addresses (Care Compare)

1001 SE Monterey Comm
Suite 300
Stuart, FL 34996-3329
Phone (772) 286-9400

200 SE Hospital Ave
Stuart, FL 34994-2346
Phone (772) 223-5665

Hospital & facility affiliations

  • Trilogy Home Healthcare Home health agency, Port Saint Lucie, FL, CCN 109270
  • Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044
  • CCN 100366 Hospital, CCN 100366

Merit-based Incentive Payment System (MIPS)

Final score
82.68 of 100Reported as group
Quality
60.2
Promoting interoperability
99
Improvement activities
40
Cost
75.2

Merit-based Incentive Payment System (MIPS)

Final score
89.96 of 100Reported as group
Quality
88.17
Promoting interoperability
100
Improvement activities
40
Cost
78.36

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036101942ILMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Associates of Stuart P a Cardiovascular Disease CurrentSince Nov 2, 2023 Accepting new patients
Martin Memorial Medical Center Inc CurrentSince May 26, 2024 Accepting new patients
Freeport Memorial Hospital CurrentSince Oct 11, 2021 Accepting new patients
Stuart Cardiology Group LLC Cardiovascular Disease CurrentSince Nov 2, 2023 Accepting new patients
Martin Memorial Medical Center Inc CurrentSince May 26, 2024 Accepting new patients
Central Florida Cardiovascular Consultants Cardiovascular Disease CurrentSince Dec 1, 2022 Accepting new patients
Bagnoli and Salah Partnership PastSince Nov 2, 2019 Accepting new patients
Indiana University Health la Porte Hospital Inc Past Accepting new patients

Locations

759 Harley Strickland Blvd
Orange City, FL 32763
Phone (386) 456-0300

915 Harley Strickland Blvd
Orange City, FL 32763
Phone (386) 456-0300

10000 SW Innovation Way
Port St Lucie, FL 34987
Phone (772) 288-5853

310 SE Veranda Falls Way
Port St Lucie, FL 34984
Phone (561) 800-4111

11380 SW Village Pkwy
Ste 300
Port St Lucie, FL 34987

200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618

1001 SE Monterey Commons Blvd
Ste 300
Stuart, FL 34996
Phone (561) 286-9400

1027 SE Ocean Blvd
Stuart, FL 34996
Phone (561) 781-0222

2100 SE Salerno Rd
Stuart, FL 34997
Phone (772) 223-2300

1045 W Stephenson St
Freeport, IL 61032
Phone (815) 599-6105

1036 W Stephenson St
Freeport, IL 61032
Phone (815) 599-7410

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HADDAA
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: isaac.dor.p1@direct.scg.nextgenshare.com

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 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": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1982718409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2257",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463040357",
            "telephone_number": "219-926-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 NATIONS DR STE 111",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600319175",
            "telephone_number": "224-656-5867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOR",
        "first_name": "ISAAC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036101942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036101942",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL",
            "identifier": "708520",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurnee, IL

Sources for this page

Verify at the official NPI Registry.