STEVEN ISSLEY (MD) – Emergency Medicine Physician, NPI 1215925029

STEVEN ISSLEY (MD) is a healthcare provider. based in New london, Connecticut. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 258064 (NJ). The NPI Number for STEVEN ISSLEY (MD) is 1215925029

Main info

Male
29 Years Of Experience
Name
STEVEN ISSLEY (MD)
NPI
1215925029
Phone
(860) 442-0711
Address
365 MONTAUK AVE
Enumeration Date
6 October 2005
Last Update Date
26 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2019152000
Graduation Year
1997 (29 years ago)
PAC ID
6204857808
Group Practice PAC ID
0941612840
Professional Enrollment ID
I20241023000593
Address ID
NJ073024321JE355XXSTXX300
Telehealth
Yes

Contacts

Secure Messaging
sissley155891@nyumc.direct-ci.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

839 EMERGENCY MEDICINE in CT

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Provider Addresses for STEVEN ISSLEY (MD)

  • Lawrence+Memorial Hospital, 365, Montauk Avenue, Montauk Avenue Historic District, New London, New London County, Connecticut, 06320, United States

    NEW LONDON, CT 063204769

    Phone: (860) 442-0711

    Type: Location

  • 20 YORK ST, CB-329

    NEW HAVEN, CT 065103220

    Phone: (203) 688-1734

    Type: Mailing

  • 79 Bridge St Apt 4I

    Brooklyn, NY 112017450

    Phone: (917) 306-6472

    Type: Location

  • 365 Montauk Ave

    New London, CT 063204769

    Phone: (860) 442-0711

    Type: Location

  • 1425 Portland Ave

    Rochester, NY 146213011

    Phone: (585) 922-5067

    Type: Location

  • 550 1ST AVE

    NEW YORK, NY 100166402

    Phone: (212) 263-3293

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-10-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051212000056IEmergency MedicineNYTBD
I20241023000593IEmergency MedicineNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06320)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941612840View full group profile
NameSpecialtyState
Internal MedicineNY
Internal MedicinePA
Internal MedicineNJ
Emergency MedicineNY
Emergency MedicineNJ
Physician AssistantNJ
Internal MedicineNJ
Emergency MedicineNY
Internal MedicineWI
Emergency MedicineNJ

Reviews

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Frequently asked questions

Does STEVEN ISSLEY (MD) have a public NPI I can cite?
Public records show STEVEN ISSLEY (MD) under NPI 1215925029.
Should I treat STEVEN ISSLEY (MD) as an active provider?
Patients and plans typically see STEVEN ISSLEY (MD) as active in the national extract.
What type of care does STEVEN ISSLEY (MD) provide?
STEVEN ISSLEY (MD)'s profile centers on Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to STEVEN ISSLEY (MD)?
STEVEN ISSLEY (MD) is associated with New London, Connecticut in the same public data insurers reference.
Why is information missing for STEVEN ISSLEY (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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