Issa.med P.A.
NPI 1376217364 · Geriatric Medicine (Internal Medicine) Physician · Penney Farms, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Issa.med P.A. is a Geriatric Medicine (Internal Medicine) Physician organization in Penney Farms, FL (NPI 1376217364).
Provider details
- NPI number
- 1376217364
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Hani Issa, President(217) 416-6431
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
5 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (4)
- 3465 Caroline BlvdPenney Farms, FL 32079Phone: (217) 416-6431
- 3497 Caroline BlvdPenney Farms, FL 32079Phone: (217) 416-6431
- 4410 Lewis AvePenney Farms, FL 32079Phone: (217) 416-6431
- 4510 Lewis AvePenney Farms, FL 32079Phone: (217) 416-6431
Registry dates
- Enumerated
- 2021-08-04
- Last updated
- 2021-08-04
- Certified
- 2021-07-09
Frequently asked questions
- What is Issa.med P.A.'s NPI number?
- Issa.med P.A.'s National Provider Identifier (NPI) is 1376217364, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Issa.med P.A.?
- Issa.med P.A. is classified in the NPPES registry as Geriatric Medicine (Internal Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Issa.med P.A. located?
- Issa.med P.A.'s practice location on file with NPPES is 2 Pavillion Place, Penney Farms, FL 32079.
- What is Issa.med P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Issa.med P.A. is (217) 416-6431.
- Does Issa.med P.A. accept Medicare?
- Issa.med P.A. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Issa.med P.A.?
- The authorized official listed on Issa.med P.A.'s NPPES record is Hani Issa, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Issa.med P.A.'s NPI active?
- Yes — Issa.med P.A.'s NPI (1376217364) is active in the NPPES registry as of the last update on 2021-08-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.