Individual provider Active NPI

Anwar Ismail, M.D.

  • Psychiatry Physician
  • Richmond, TX
National Provider Identifier
1679501712
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
K1842 Issued in TX
Practice address
22001 Southwest Fwy Ste 125
Richmond, TX 77469-7118
Phone
(844) 824-8775
NPI assigned
Jun 29, 2006
Last updated
Sep 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X 11631R LA
Psychiatry Physician 2084P0800X K1842 TX Primary

Addresses

Primary practice location

22001 Southwest Fwy Ste 125
Richmond, TX 77469-7118

Mailing address

PO Box 641268
Kenner, LA 70064-1268
Phone (504) 464-1021

Other practice location 1

4113 Williams Blvd.
Kenner, LA 70065
Phone (504) 464-1021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20111128000387 LA Practitioner - Psychiatry 5496929655 Reassigns benefits to 4 organizations
Practice locations: Kenner, LA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Missouri, Kansas City, School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4113 Willaims Blvd
Kenner, LA 70065-2202
Phone (504) 464-1021

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K1842TXMDPsychiatry Physician
11631RLAMDGeriatric Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Helena Parish Hospital CurrentSince Oct 29, 2019 Accepting new patients
St Helena Parish Hospital Current Accepting new patients
Universal Behavioral Health Hospital Inc CurrentSince Jul 1, 2021 Accepting new patients
St. Helena Parish Hospital CurrentSince Oct 29, 2019 Accepting new patients
Jefferson Psychiatric Associates LLC Psychiatry PastSince Dec 1, 2013 Accepting new patients
Jefferson Psychiatric Associates Psychiatry PastSince May 12, 2008 Accepting new patients
Lake Pines Hospital, LLC Past Accepting new patients

Locations

16874 Highway 43
Greensburg, LA 70441
Phone (225) 222-6111

800 S Oak St
Hammond, LA 70403
Phone (504) 615-6419

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/05a97b88-f719-405f-abbb-125ac71b7cee/
  • FHIR API: https://fhir-usa.unify.chbase.com/org/univers-20f52cf9

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1679501712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 641268",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700641268",
            "telephone_number": "504-464-1021",
            "fax_number": "504-464-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22001 SOUTHWEST FWY STE 125",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774697118",
            "telephone_number": "844-824-8775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4113 Williams Blvd.",
            "address_purpose": "LOCATION",
            "city": "Kenner",
            "state": "LA",
            "postal_code": "70065",
            "country_code": "US",
            "telephone_number": "504-464-1021",
            "fax_number": "504-464-1022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISMAIL",
        "first_name": "ANWAR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "LA",
            "license": "11631R",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "K1842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

Verify at the official NPI Registry.