DR. JOHN ISAAC JR. M.D. NPI 1225037435

Surgery in Warwick, RI

NPI 1225037435 Individual Male Years of Experience 38 Surgery PECOS Enrolled Accepts Medicare Approved Payment

About JOHN ISAAC

John Isaac is a provider established in Warwick, Rhode Island and his medical specialization is surgery with more than 38 years of experience. The NPI number of John Isaac is 1225037435 and was assigned on July 2005. The practitioner's primary taxonomy code is 208600000X with license number RI7525 (RI). The provider is registered as an individual and his NPI record was last updated one year ago.

A surgeon like Dr. John Isaac Jr. M.d. treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

John Isaac is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

John Isaac is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Riverside Doctors' Hospital Of Williamsburg and Riverside Regional Medical Center.

NPI

1225037435

Provider NameDR. JOHN ISAAC JR. M.D.
Provider Location Address390 TOLL GATE RD STE.200 WARWICK, RI 02886
Provider Mailing Address390 TOLL GATE RD STE.200 WARWICK, RI 02886
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1984
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date07-19-2005
Last Update Date05-14-2020


Primary Taxonomy

Taxonomy Code208600000X
ClassificationSurgery
TypeAllopathic & Osteopathic Physicians
License No.RI7525
License StateRI
Taxonomy DescriptionA general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Business Address

DR. JOHN ISAAC JR. M.D.
390 TOLL GATE RD
STE.200
WARWICK, RI
ZIP 02886
Phone: (401) 739-8010
Fax: (401) 739-6087

Get Directions


Mailing Address

DR. JOHN ISAAC JR. M.D.
390 TOLL GATE RD
STE.200
WARWICK, RI
ZIP 02886
Phone: (401) 739-8010
Fax: (401) 739-6087



Secondary Locations

168 Kinsley St
Nashua, NH 03060
(603) 598-0455
7554 Hospital Dr # D-303
Gloucester, VA 23061
(804) 693-3400

Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID3375595408
PECOS Enrollment IDI20200520002358, I20210301002160
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 22Removal of gallbladder using an endoscope (HCPCS:47562)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. John Isaac is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG1500 COMMONWEALTH AVENUE
WILLIAMSBURG, VA 23185
(757) 345-3000Acute Care Hospitals490143
RIVERSIDE REGIONAL MEDICAL CENTER500 J CLYDE MORRIS BLVD
NEWPORT NEWS, VA 23601
(757) 594-2000Acute Care Hospitals490052

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1208600000XAllopathic & Osteopathic PhysiciansSurgery0101268741VANo

Taxonomy Description: a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

2208600000XAllopathic & Osteopathic PhysiciansSurgery20154NHNo

Taxonomy Description: a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

32086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryMD07525RINo

Taxonomy Description: a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
200881OTHER (01)RI
29065-0OTHER (01)RI
3121659MEDICAID (05)NH
7000784MEDICAID (05)RI

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1861491086DR. DAVID J LUZ M.D.
Individual
Surgery390 TOLL GATE RD STE.200
WARWICK, RI 02886
(401) 739-8010
1265431357DR. DANIEL B. REARDON M.D.
Individual
Surgery390 TOLL GATE RD STE.200
WARWICK, RI 02886
(401) 691-3300
1770582876DR. CANDACE L DYER M.D.
Individual
Surgery390 TOLL GATE RD STE.200
WARWICK, RI 02886
(401) 739-8010
1720065337 ELIZABETH ANN VOLLUCCI R.N.P.
Individual
Nurse Practitioner (Family)390 TOLL GATE RD SUITE 201
WARWICK, RI 02886
(401) 738-8800
1689631699DR. THOMAS RAYMOND LEDDY MD
Individual
Ophthalmology390 TOLL GATE RD SUITE 112
WARWICK, RI 02886
(401) 732-2662
1700820578 CURTIS THOMPSON JONES MD
Individual
Urology390 TOLL GATE RD SUITE 204
WARWICK, RI 02886
(401) 737-5253
1255357737 JOHN DOUGLAS NISBET II M.D.
Individual
Obstetrics & Gynecology390 TOLL GATE RD SUITE 201
WARWICK, RI 02886
(401) 738-8800
1063438547 MARK FRANCIS SCOTT M.D.
Individual
Obstetrics & Gynecology390 TOLL GATE RD SUITE 201
WARWICK, RI 02886
(401) 738-8800
1083722359LUCILLE LANNA MD,LTD.
Organization
Internal Medicine390 TOLL GATE RD SUITE 103
WARWICK, RI 02886
(401) 921-6700
1326147430J. GERALD SMITH, MD
Organization
Obstetrics & Gynecology (Gynecology)390 TOLL GATE RD SUITE 101
WARWICK, RI 02886
(401) 737-2280
1871682351 KRISTIN E. BRENNAN O.D.
Individual
Optometrist390 TOLL GATE RD
WARWICK, RI 02886
(401) 732-6640
1356556294MRS. AMY MULLERVY LISCW
Individual
Social Worker (Clinical)390 TOLL GATE RD STE. K 104
WARWICK, RI 02886
(401) 739-4969
1558556266KEITH L. CALLAHAN M.D., P.C.
Organization
Clinic/Center (Primary Care)390 TOLL GATE RD SUITE 108
WARWICK, RI 02886
(401) 921-5672
1790970408 ROXANNE VREES
Individual
Obstetrics & Gynecology390 TOLL GATE RD SUITE 205
WARWICK, RI 02886
(401) 727-4800
1609045871KING OPTICIANS INC
Organization
Technician/Technologist (Optician)390 TOLL GATE RD SUITE 105
WARWICK, RI 02886
(401) 732-4950
1972746550POLLY E. LEONARD, D.O., LTD
Organization
Family Medicine390 TOLL GATE RD SUITE 203
WARWICK, RI 02886
(401) 732-2031
1376773606JOSEPH W. SPINALE, DO, INC
Organization
Internal Medicine (Cardiovascular Disease)390 TOLL GATE RD SUITE 205
WARWICK, RI 02886
(401) 921-6263
1932278322DR. HEATHER M HURLBURT MD
Individual
Internal Medicine (Cardiovascular Disease)390 TOLL GATE RD SUITE 205
WARWICK, RI 02886
(401) 921-6263
1528403847TOLLGATE OBSTETRICS AND GYNECOLOGY MIDWIFERY SERVICES INC
Organization
Midwife390 TOLL GATE RD SUITE 101
WARWICK, RI 02886
(401) 737-2280
1285791640KENT CARDIOLOGY ASSOC INC
Organization
Internal Medicine (Cardiovascular Disease)390 TOLL GATE RD SUITE 202
WARWICK, RI 02886
(401) 739-7210

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.