Mohammed Ismail MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

227997 Issued in NY

Legal business name

MOHAMMED ISMAIL MD PC

Practice address

46 3Rd St
Waterford, NY 12188

Phone

(518) 237-0641

Fax

(518) 235-6401

NPI assigned

Oct 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mohammed Ismail, MDNPI 1477588747

Title

Owner

Phone

(518) 237-0641

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18260/brand/1/csg/1/fhir/r4

Practitioners 3

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

• Mohammed Ismail, MD

  • Addiction Medicine (Internal Medicine) Physician
  • Troy, NY
  • NPI 1477588747
  Medicare reassignment NPD Authorized official
• Adila Nathu, MD,PA

  • Clinical Pathology Physician
  • Waterford, NY
  • NPI 1245882182
  NPD (past)
• Ghazala Nathu

  • Clinical Pathology Physician
  • Waterford, NY
  • NPI 1245608066
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314057600000",
    "number": "1306935895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 3RD ST",
            "city": "WATERFORD",
            "state": "NY",
            "postal_code": "12188",
            "telephone_number": "518-237-0641",
            "fax_number": "518-235-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 3RD ST",
            "city": "WATERFORD",
            "state": "NY",
            "postal_code": "12188",
            "telephone_number": "518-237-0641",
            "fax_number": "518-235-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMED ISMAIL MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2011-08-23",
        "status": "A",
        "authorized_official_last_name": "ISMAIL",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-237-0641",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "227997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02217870",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erica J Mahoney, MHC-L
• Joseph Mango
• Mary Beth Martin, NP
• Michael T McEvoy, RN
• Rebecca Hyde Miles, P.T.
• Amita N Nair, MD
• Adila Nathu, MD,PA
• Ghazala Nathu
• Zahid Nazir, M.D.
• Paul Anthony Noto, PT, DPT

• Internal Medicine Physician in Waterford, NY
• Providers in Waterford, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.