ISAAC B ANNAN (MD) – Neurology Physician, NPI 1336112234

ISAAC B ANNAN (MD) is a healthcare provider. based in Lititz, Pennsylvania. specializing in NEUROLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 036111711 (IL). The NPI Number for ISAAC B ANNAN (MD) is 1336112234

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
ISAAC B ANNAN (MD)
NPI
1336112234
Phone
(717) 569-8773
Address
640 E Oregon Rd
Enumeration Date
10 February 2006
Last Update Date
1 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7068023018
Graduation Year
1994 (32 years ago)
PAC ID
1456311307
Group Practice PAC ID
3476855420
Professional Enrollment ID
I20140820000917
Address ID
GA301651415RO501XXNWXX400

Contacts

Secure Messaging
iannan361803@direct-ehr-ssmhc.com
FHIR Endpoint
https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience100
Completeness85
Years active:20State licenses:5Other namesUpdated within 12 months

1,531 NEUROLOGY in PA

Provider Addresses for ISAAC B ANNAN (MD)

  • 640 E Oregon Rd

    Lititz, PA 175439202

    Phone: (717) 569-8773

    Fax: (717) 735-7992

    Type: Location

  • 1836 South Ave

    LA Crosse, WI 546015429

    Phone: (608) 782-7300

    Type: Location

  • 3200 E Racine St

    Janesville, WI 535462343

    Phone: (608) 371-8000

    Fax: (608) 371-8943

    Type: Location

  • 640 E OREGON RD

    LITITZ, PA 175439202

    Phone: (717) 569-8773

    Fax: (717) 735-7992

    Type: Mailing

  • 350 HOSPITAL DR

    MACON, GA 312173838

    Phone: (470) 788-1010

    Type: Location

  • 3200, East Racine Street, Janesville, Rock County, Wisconsin, 53546, United States

    JANESVILLE, WI 535462343

    Phone: (608) 371-8000

    Fax: (608) 371-8943

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $97.

Total Amount is formed as General ($97) + Research ($0) + Ownership ($0) = $97.

Last reported payment date: 2024-09-17 • Largest payer in this snapshot: UCB, Inc. ($55).

Total Amount

$97

General + Research + Ownership

Payments

4

Total payment records

General Amount

$97

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-17

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
UCB, Inc.$55
ABBVIE INC.$42
View all Open Payments →|Open Payments Risk Radar →

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: 2025-06-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20140820000917INeurologyGATBD
I20170112002025INeurologyWITBD
I20250303002920INeurologyAZTBD
I20250617000017INeurologyTXTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes9949$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes5151$0
99291Critical care, first 30-74 minutes3726$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3024$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 17543)

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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: 3476855420View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to ISAAC B ANNAN (MD)?
NPI 1336112234 is assigned to ISAAC B ANNAN (MD) under the national enumeration system.
Does this profile mean ISAAC B ANNAN (MD) is currently active?
Yes — ISAAC B ANNAN (MD) appears active in the national provider directory.
Does ISAAC B ANNAN (MD) list a primary specialty?
If you are matching referrals, note Neurology Physician for ISAAC B ANNAN (MD). Clinical services aligned with this taxonomy classification.
Does ISAAC B ANNAN (MD) practice in Pennsylvania?
You will see Lititz, Pennsylvania on file for ISAAC B ANNAN (MD) alongside any extra practice locations.
How can I contact ISAAC B ANNAN (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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