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

Issam Beydoun, DO

Individual provider Emergency Medicine Physician · NPI 1912585571

Issam Beydoun, DO is an Emergency Medicine in New York, New York. Qualified in 2021, 5 years ago. Practices with Vituity-Iowa PLLC, a 29-clinician group and accepts Medicare assignment. Licensed in Iowa, New York and South Carolina.

Years since qualifying
5
Licensed in
IA, NY, SC
In the registry since
2021
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1901 1st Ave # 2A31
New York, NY 10029-7494
Phone: (212) 423-6684
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 93621 (SC)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 322723 (NY)
Emergency Medicine Physician Taxonomy 207P00000X · Licence DO-06771 (IA)

Record details

NPI number1912585571
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 1, 2021
Last updated in NPPESJune 30, 2025
Certification dateJune 30, 2025

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Vituity-Iowa Pllc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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