Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Justin Prakorb Isariyawongse, MD

Individual provider Urology Physician · NPI 1053524769

Dr. Justin Prakorb Isariyawongse, MD is an Urology in Monroeville, Pennsylvania. Graduated from Ohio State University College of Medicine in 2005, 21 years ago. Practices with Suburban Urologic Associates PC, a 9-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio and Pennsylvania.

Years since qualifying
21
Trained at
Ohio State University College of Medicine
Licensed in
OH, PA
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2790 Mosside Blvd Ste G110
Monroeville, PA 15146-2766
Phone: (412) 702-0030
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence MD448991 (PA)
Urology Physician Taxonomy 208800000X · Licence 57.010506 (OH)

Record details

NPI number1053524769
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 8, 2007
Last updated in NPPESJuly 18, 2025
Certification dateJuly 18, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Suburban Urologic Associates Pc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Monroeville