Individual provider Active NPI

Heba Ismail, M.D.

  • Pulmonary Disease Physician
  • Riverside, CA
National Provider Identifier
1124296124
Registry record updated Aug 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A102593 Issued in CA
Practice address
4234 Riverwalk Parkway Suite 230
Pacific Pulmonary Medical Group
Riverside, CA 92505
Phone
(951) 781-3672
Fax
(951) 781-0365
NPI assigned
Feb 13, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X A102593 CA
Pulmonary Disease Physician 207RP1001X A102593 CA Primary

Addresses

Primary practice location

4234 Riverwalk Parkway Suite 230
Pacific Pulmonary Medical Group
Riverside, CA 92505

Mailing address

4234 Riverwalk Parkway Suite 230
Pacific Pulmonary Medical Group
Riverside, CA 92505
Phone (951) 781-3672

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20110720000210 CA Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 9436327319 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Pulmonary Disease
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
San Francisco Critical Care Med Group IncGroup PAC ID 1850285602, 18 clinicians
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians

Practice addresses (Care Compare)

1100 Van Ness Ave
Suite 1005
San Francisco, CA 94109-6920
Phone (415) 923-3421

1101 Van Ness Ave
San Francisco, CA 94109-6919
Phone (415) 600-6000

Hospital & facility affiliations

  • California Pacific Medical Center- Van Ness Campus Hospital, San Francisco, CA, CCN 050047
  • California Pacific Medical Center - Mission Bernal Hospital, San Francisco, CA, CCN 050055
  • California Pacific Medical Ctr-Davies Campus Hosp Hospital, San Francisco, CA, CCN 050008
  • Sutter Santa Rosa Regional Hospital Hospital, Santa Rosa, CA, CCN 050291

Merit-based Incentive Payment System (MIPS)

Final score
97.3 of 100Reported as group
Quality
82.96
Promoting interoperability
100
Improvement activities
40
Cost
74.7

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
San Francisco Critical Care Med Group Inc Critical Care Medicine CurrentSince Sep 1, 2018 Accepting new patients
El-Bershawi Medical Corp Critical Care Medicine CurrentSince Aug 3, 2015 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Mar 1, 2026 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Mar 1, 2026 Accepting new patients
Riverside Healthcare System, L.P. Past Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients
University of California Irvine Past Accepting new patients
Pacific Professional Surgical Group Inc Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Doctors Hospital of Riverside LLC Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Sutter East Bay Medical Foundation Past Accepting new patients

Locations

4 Hughes
Ste 100
Irvine, CA 92618
Phone (949) 679-6874

4234 Riverwalk Pkwy
Ste 230
Riverside, CA 92505
Phone (951) 373-5819

1100 Van Ness Ave
Ste 1005
San Francisco, CA 94109
Phone (415) 923-3421

1101 Van Ness Ave
San Francisco, CA 94109
Phone (415) 485-8824

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: hismail420186@hisp.ehr.sutterhealth.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 4

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": "1202860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439337600000",
    "number": "1124296124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4234 RIVERWALK PARKWAY SUITE 230",
            "address_2": "PACIFIC PULMONARY MEDICAL GROUP",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92505",
            "telephone_number": "951-781-3672",
            "fax_number": "951-781-0365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4234 RIVERWALK PARKWAY SUITE 230",
            "address_2": "PACIFIC PULMONARY MEDICAL GROUP",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92505",
            "telephone_number": "951-781-3672",
            "fax_number": "951-781-0365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISMAIL",
        "first_name": "HEBA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-13",
        "last_updated": "2015-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A102593",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A102593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.