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ISSA.MED P.A.
NPI 1376217364
Internal Medicine - Geriatric Medicine in Penney Farms, FL

Active since August 04, 2021
2 PAVILLION PLACE, PENNEY FARMS, FL 32079(217) 416-6431 Get Directions Write a Review

NPPES record last updated: August 4, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Issa.med P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ISSA.MED P.A. (NPI 1376217364) is a healthcare organization registered as a geriatric medicine in Penney Farms, Florida and active in the NPI registry since August 2021. The organization maintains 4 additional practice locations and lists Hani Issa, President, as its authorized official.

NPPES Registry Identity

NPI1376217364
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NameISSA.MED P.A.
Location Address2 PAVILLION PLACEPenney Farms, FL 32079
Mailing Address1907 Atlantic Blvd Ste 1Jacksonville, FL 32207-3405
Phone(217) 416-6431
Organization SubpartNo
Authorized OfficialHani IssaPresident · (217) 416-6431
Enumeration DateAugust 4, 2021
NPPES CertifiedJuly 9, 2021
✔ NPI 1376217364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
2 PAVILLION PLACE, Penney Farms, FL 32079
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Secondary Practice Locations 4

Location 13497 Caroline BlvdPenney Farms, FL 32079 · Phone (217) 416-6431
Location 24410 Lewis AvePenney Farms, FL 32079 · Phone (217) 416-6431
Location 34510 Lewis AvePenney Farms, FL 32079 · Phone (217) 416-6431
Location 43465 Caroline BlvdPenney Farms, FL 32079 · Phone (217) 416-6431

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Issa.med P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Issa.Med P.A., which bills Medicare for the services this clinician delivers.

Clinician (1)

Hani Issa, M.D.
Geriatric Medicine
NPI 1619144045
2 PAVILLON PLACE
Penny Farms, FL 32079
(904) 388-3351
✔ PECOS✔ Accepts MedicareSame address

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 Issa.Med P.A.'s NPI number?

The NPI number for Issa.Med P.A. is 1376217364. It was assigned to this organization in the NPPES registry on August 4, 2021.

Where is Issa.Med P.A. located?

Issa.Med P.A. is located at 2 Pavillion Place, Penney Farms, FL 32079. The listed phone number is (217) 416-6431.

What is Issa.Med P.A.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Issa.Med P.A. enrolled in Medicare?

Yes. Issa.Med P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Issa.Med P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Geriatric Medicine) reassigns their Medicare billing to Issa.Med P.A.. 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 Issa.Med P.A. was last updated on August 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.