NPIMap

Individual provider Active NPI

Anas Abou-Ismail, MD

  • Nephrology Physician
  • Palm Springs, CA
National Provider Identifier
1598078784
Registry record updated Jun 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A162151 Issued in CA
Practice address
1100 N Palm Canyon Dr Ste 211
Palm Springs, CA 92262-4426
Phone
(760) 323-1155
Fax
(760) 532-5486
NPI assigned
Jul 16, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD176688 OR
Nephrology Physician 207RN0300X A162151 CA Primary

Addresses

Primary practice location

1100 N Palm Canyon Dr Ste 211
Palm Springs, CA 92262-4426

Mailing address

1100 N Palm Canyon Dr Ste 211
Palm Springs, CA 92262-4426
Phone (760) 323-1155

Other practice location 1

36955 Cook St Ste 102
Palm Desert, CA 92211-6084
Phone (760) 341-4839

Other practice location 2

46883 Monroe St Ste 100
Indio, CA 92201-6769
Phone (760) 323-1155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A162151CAMDNephrology Physician
MD176688ORMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Nephrology PastSince Jul 15, 2019 Accepting new patients

Organizations & group practices 1

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": "1279238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561680000000",
    "number": "1598078784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N PALM CANYON DR STE 211",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624426",
            "telephone_number": "760-323-1155",
            "fax_number": "760-532-5486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N PALM CANYON DR STE 211",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624426",
            "telephone_number": "760-323-1155",
            "fax_number": "760-532-5486"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36955 Cook St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Palm Desert",
            "state": "CA",
            "postal_code": "922116084",
            "country_code": "US",
            "telephone_number": "760-341-4839",
            "fax_number": "760-340-3536",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "46883 Monroe St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Indio",
            "state": "CA",
            "postal_code": "922016769",
            "country_code": "US",
            "telephone_number": "760-323-1155",
            "fax_number": "760-325-8629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABOU-ISMAIL",
        "first_name": "ANAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-16",
        "last_updated": "2019-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OR",
            "license": "MD176688",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A162151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.