RICARDO ISSA PHYSICIAN PC
NPI 1306123740
Internal Medicine in New York, NY
About Ricardo Issa Physician Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RICARDO ISSA PHYSICIAN PC (NPI 1306123740) is a healthcare organization registered as an internal medicine in New York, New York and active in the NPI registry since November 2011. The organization lists Ricardo Issa, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ricardo Issa Physician Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Ricardo Issa Physician PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ricardo Issa Physician PC's NPI number?
The NPI number for Ricardo Issa Physician PC is 1306123740. It was assigned to this organization in the NPPES registry on November 14, 2011.
Where is Ricardo Issa Physician PC located?
Ricardo Issa Physician PC is located at 157 E 72nd St, New York, NY 10021. The listed phone number is (212) 772-1211.
What is Ricardo Issa Physician PC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Ricardo Issa Physician PC enrolled in Medicare?
Yes. Ricardo Issa Physician PC is registered in the Medicare PECOS enrollment system.
When is Ricardo Issa Physician PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Ricardo Issa Physician PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Ricardo Issa Physician PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Ricardo Issa Physician PC was last updated on November 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ricardo Issa Physician Pc · NPI 1306123740
Internal Medicine organization in New York, New York. Organization record, active in the CMS NPPES registry since November 14, 2011.
## Identity
- **NPI:** 1306123740 (Entity type: Organization)
- **Enumerated:** November 14, 2011
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Ricardo Issa, OWNER
## Practice location
- **Address:** 157 E 72ND ST, New York, NY 10021-4331
- **Phone:** (212) 772-1211 · **Fax:** (212) 249-2421
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 14, 2011
---
Source: [NPI Profile](https://npiprofile.com/npi/1306123740) · Data from the CMS NPPES public registry.