Individual provider Active NPI

Samina Ismail, MD

  • Specialist
  • Raleigh, NC
National Provider Identifier
1609849900
Registry record updated Jan 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
01518 Issued in NC
Practice address
7720 Chapel Hill Rd
Raleigh, NC 27607-4956
Phone
(919) 655-5020
Fax
(919) 324-6683
NPI assigned
Feb 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 01518 NC Primary

Addresses

Primary practice location

7720 Chapel Hill Rd
Raleigh, NC 27607-4956

Mailing address

309 Malvern Hill LN
Morrisville, NC 27560-9722
Phone (919) 655-5020

Other identifiers 1

IdentifierTypeStateIssuer
5900025MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20050422000932 NC Practitioner - Family Practice 6204874852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7718 Chapel Hill Rd
Cary, NC 27513-6256
Phone (919) 655-5020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01518NCMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
DRX High Point, PLLC PastSince Jul 24, 2012 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sismail99917@direct.unc.nchie.net

Organizations & group practices 2

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": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357516800000",
    "number": "1609849900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 MALVERN HILL LN",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275609722",
            "telephone_number": "919-655-5020",
            "fax_number": "919-324-6683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7720 CHAPEL HILL RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276074956",
            "telephone_number": "919-655-5020",
            "fax_number": "919-324-6683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISMAIL",
        "first_name": "SAMINA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-08",
        "last_updated": "2013-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "01518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5900025",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.