Individual provider Active NPI

Saira Banu Ismail, MD

  • Family Medicine Physician
  • Hudson, OH
National Provider Identifier
1023001203
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.069651 Issued in OH
Practice address
5778 Darrow Rd
Suite D
Hudson, OH 44236-3808
Phone
(330) 655-2161
Fax
(330) 650-2116
NPI assigned
Aug 24, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35.069651 OH Primary

Addresses

Primary practice location

5778 Darrow Rd
Suite D
Hudson, OH 44236-3808

Mailing address

5778 Darrow Rd
Suite D
Hudson, OH 44236-3808
Phone (330) 655-2161

Other practice location 1

4211 State Route 44 Ste 203
Rootstown, OH 44272-9733
Phone (330) 325-3202

Other identifiers 1

IdentifierTypeStateIssuer
2066311MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address sairaismail@uhps.allscriptsdirect.net
Direct Messaging Address sairaismail@uhps.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070412000020 OH Practitioner - Family Practice 1456456987 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.069651OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Osup Community Outreach LLC CurrentSince Mar 1, 2025 Accepting new patients
University Primary Care Practices Past Accepting new patients
University Hospitals Medical Group Inc Past Accepting new patients
Pioneer Physicians Network, Inc. Family Medicine Past Accepting new patients

Locations

700 Ackerman Rd
Ste 2120
Columbus, OH 43202

4211 State Route 44
Ste 203
Rootstown, OH 44272
Phone (330) 325-3202

6100 N Hamilton Rd
Westerville, OH 43081
Phone (614) 814-8100

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1023001203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5778 DARROW RD",
            "address_2": "SUITE D",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442363808",
            "telephone_number": "330-655-2161",
            "fax_number": "330-650-2116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5778 DARROW RD",
            "address_2": "SUITE D",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442363808",
            "telephone_number": "330-655-2161",
            "fax_number": "330-650-2116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4211 State Route 44 Ste 203",
            "address_purpose": "LOCATION",
            "city": "Rootstown",
            "state": "OH",
            "postal_code": "442729733",
            "country_code": "US",
            "telephone_number": "330-325-3202",
            "fax_number": "833-606-1565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISMAIL",
        "first_name": "SAIRA",
        "middle_name": "BANU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-24",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.069651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2066311",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sairaismail@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "5778 Darrow Rd",
            "address_2": "Suite D",
            "city": "Hudson",
            "state": "OH",
            "country_code": "US",
            "postal_code": "442363808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sairaismail@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "5778 Darrow Rd",
            "address_2": "Suite D",
            "city": "Hudson",
            "state": "OH",
            "country_code": "US",
            "postal_code": "442363808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hudson, OH

Sources for this page

Verify at the official NPI Registry.