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

Kimona Issa, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1982019998

Kimona Issa, MD is an Orthopedic Surgery in Binghamton, New York. Graduated from State University of New York at Buffalo School of Medicine in 2011, 15 years ago. Practices with Our Lady of Lourdes Memorial Hospital Inc, a 249-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
15
Trained at
State University of New York at Buffalo School of Medicine
Licensed in
KY
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

65 Pennsylvania Ave
Binghamton, NY 13903-1651
Phone: (607) 798-9356
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery of the Spine Physician (primary) Taxonomy 207XS0117X · Licence 52114 (KY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1982019998
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 27, 2014
Last updated in NPPESMay 2, 2021
Certification dateMay 2, 2021
Mailing address23 Minnisink Rd, Wayne, NJ 07470-4810

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolSTATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Our Lady Of Lourdes Memorial Hospital Inc — 249 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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