Individual provider Active NPI

Mohamed Mostafa Ismael, M.D, M.P.H

  • Psychiatry Physician
  • Pittsburgh, PA
National Provider Identifier
1639140353
Registry record updated Mar 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD042775L Issued in PA
Practice address
3811 Ohara St
Pittsburgh, PA 15213-2561
Phone
(412) 344-4010
NPI assigned
Jan 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD042775L PA Primary

Addresses

Primary practice location

3811 Ohara St
Pittsburgh, PA 15213-2561

Mailing address

1554 Cook School Rd
Pittsburgh, PA 15241-2604
Phone (412) 715-4627

Other identifiers 1

IdentifierTypeStateIssuer
01247497MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20060802000120 PA Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 2062425457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Geriatric Psychiatry
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians

Practice addresses (Care Compare)

3811 Ohara St
Pittsburgh, PA 15213-2597
Phone (412) 624-1000

Hospital & facility affiliations

  • Upmc Presbyterian Shadyside Hospital, Pittsburgh, PA, CCN 390164

Merit-based Incentive Payment System (MIPS)

Final score
80.94 of 100Reported as group
Quality
61.89
Promoting interoperability
100
Improvement activities
40
Cost
74.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD042775LPAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians Psychiatry CurrentSince Jul 1, 2007 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 1, 2007 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Wpic Physician Practice Corp Inc Past Accepting new patients
Stress Management Center of America PastSince May 1, 2013 Accepting new patients

Locations

1275 S Main St
Ste 103
Greensburg, PA 15601
Phone (724) 853-8583

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

3811 Ohara St
Pittsburgh, PA 15213
Phone (412) 624-2000

3811 Ohara St
#E603
Pittsburgh, PA 15213
Phone (412) 624-2296

Interoperability endpoints

  • Direct secure messaging: mohamed.m.ismael@upmcdirect.com

Organizations & group practices 5

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.

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": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457654400000",
    "number": "1639140353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1554 COOK SCHOOL RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152412604",
            "telephone_number": "412-715-4627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 OHARA ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132561",
            "telephone_number": "412-344-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISMAEL",
        "first_name": "MOHAMED",
        "middle_name": "MOSTAFA",
        "credential": "M.D, M.P.H",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2016-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD042775L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01247497",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.