MS. NISHA SARA ISSAC DO
NPI 1487234977
Pediatrics - Pediatric Emergency Medicine in Phoenix, AZ

Q: What is Nisha Issac's NPI number?

The NPI number for Nisha Issac is 1487234977. It was assigned to this individual provider in the NPPES registry on April 9, 2021.

Q: What is Nisha Issac's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Q: When was this NPI record last updated?

The NPPES record for Nisha Issac was last updated on December 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.

Active since April 09, 2021PECOS Enrolled

1919 E THOMAS RD, PHOENIX, AZ 85016(602) 933-0945 Get Directions Write a Review

NPPES record last updated: December 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 16, 2024, Apr 9, 2021 (2 updates tracked since 2021).

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About Ms. Nisha Sara Issac Do NPPES

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

MS. NISHA SARA ISSAC DO (NPI 1487234977) is an individual pediatric emergency medicine provider in Phoenix, Arizona, licensed in Arizona (011086) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487234977

Entity TypeIndividualFemale

Primary Taxonomy2080P0204X

Provider Legal NameMS. NISHA SARA ISSACCredential: DO

Location Address1919 E THOMAS RDPhoenix, AZ 85016-7710

Mailing Address2108 E Thomas Rd Ste 130Phoenix, AZ 85016-0008 · (602) 933-3124

Phone(602) 933-0945

Sole ProprietorNo

Enumeration DateApril 9, 2021

Last NPPES UpdateDecember 16, 20242 updates tracked since enumeration

NPPES CertifiedDecember 16, 2024

✔ NPI 1487234977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0204X

License✔ Licensed in AZ · 011086

Definition

A pediatrician who has special qualifications to manage emergencies in infants and children.

1919 E THOMAS RD, Phoenix, AZ 85016

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Nisha Sara Issac Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TIMUR RAGHIB M.D.

Hospitalist