Individual provider Active NPI

Younus M Ismail, M.D.

  • Internal Medicine Physician
  • Scottsboro, AL
National Provider Identifier
1053301697
Registry record updated Feb 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
22123 Issued in AL
Practice address
1508 S Broad St
Suite 200
Scottsboro, AL 35768-2667
Phone
(256) 259-3778
Fax
(256) 259-3759
NPI assigned
Oct 25, 2005
Last updated
Feb 17, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 22123 AL Primary

Addresses

Primary practice location

1508 S Broad St
Suite 200
Scottsboro, AL 35768-2667

Mailing address

1508 S Broad St
Suite 200
Scottsboro, AL 35768-2667
Phone (256) 259-3778

Other identifiers 3

IdentifierTypeStateIssuer
510-41078OtherALBLUE CROSS
000041078MedicaidAL
110178240OtherALRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050222000627 AL Practitioner - Internal Medicine 6103879986 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1508 S Broad St
Scottsboro, AL 35768-2668
Phone (256) 259-3778

1508 S Broad St
Suite 200
Scottsboro, AL 35768-2667

302 Main St S
Section, AL 35771-7006
Phone (256) 259-3778

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22123ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amma Health Care Clinic LLC CurrentSince Dec 1, 2012 Accepting new patients
Scottsboro Quick Care Clinics,Inc Internal Medicine CurrentSince Jan 4, 1999 Accepting new patients
Inphynet Contracting Services LLC Past Accepting new patients

Locations

1508 S Broad St
Ste 200
Scottsboro, AL 35768
Phone (256) 259-3778

302 Main St S
Section, AL 35771
Phone (256) 228-3471

Interoperability endpoints

  • Direct secure messaging: yismail@scotts.curemd.direct-ci.com

Organizations & group practices 3

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329436800000",
    "number": "1053301697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 S BROAD ST",
            "address_2": "SUITE 200",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357682667",
            "telephone_number": "256-259-3778",
            "fax_number": "256-259-3759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 S BROAD ST",
            "address_2": "SUITE 200",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357682667",
            "telephone_number": "256-259-3778",
            "fax_number": "256-259-3759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISMAIL",
        "first_name": "YOUNUS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2012-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "22123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "510-41078",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000041078",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110178240",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsboro, AL

Sources for this page

Verify at the official NPI Registry.