Asad Ismail Neurology LLC

Organization Active NPI Psychiatry Physician · Jeffersonville, IN

NPI 1245022193 · NPPES record last updated May 19, 2025

Key facts

NPI
1245022193
Entity type
Organization (NPI type 2)
Primary specialty
Psychiatry Physician 2084P0800X
Legal business name
ASAD ISMAIL NEUROLOGY LLC
Practice address
3063 Wooded Way
Jeffersonville, IN 47130-5996
Phone
(502) 387-8104
NPI assigned
May 19, 2025
Organization subpart
No

Authorized official

Name
Dr. Asad Ismail, MD
Title
President
Phone
(502) 387-8104

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20250911003791 IN Part B Supplier - Clinic/Group Practice 6709389190 Receives reassigned benefits from 1 practitioner
Practice locations: Jeffersonville, IN

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician
Group: 193400000X SINGLE SPECIALTY GROUP
2084P0800X Yes

Addresses

Primary practice location

3063 Wooded Way
Jeffersonville, IN 47130-5996

Mailing address

3063 Wooded Way
Jeffersonville, IN 47130-5996

Other providers in Jeffersonville, IN

All providers in Jeffersonville, IN · Psychiatry Physician in Indiana

Sources for this page

Verify at the official NPI Registry.