Individual provider Active NPI

Ausama M Ismail, M.D.

  • Family Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1710245626
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01075182A Issued in IN
Practice address
9650 E Washington St
Ste 100
Indianapolis, IN 46229-3032
Phone
(317) 890-5500
Fax
(317) 890-5566
NPI assigned
Apr 27, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01075182A IN Primary

Addresses

Primary practice location

9650 E Washington St
Ste 100
Indianapolis, IN 46229-3032

Mailing address

250 N Shadeland Ave Ste 130
Indianapolis, IN 46219-4959
Phone (317) 890-5500

Other practice location 1

4200 S East St
Indianapolis, IN 46227-1534
Phone (317) 991-7600

Other identifiers 1

IdentifierTypeStateIssuer
201093890MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aismail@direct.iuhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20150515001800 IN Practitioner - Family Practice 4284870064 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
May accept Medicare assignment
Group practices
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians
Osh-in Physicians Group PCGroup PAC ID 6800100512, 62 clinicians

Practice addresses (Care Compare)

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258

4200 S E St
University Heights
Indianapolis, IN 46227-1534
Phone (317) 991-7600

5926 Crawfordsville Rd
B
Speedway, IN 46224-3722
Phone (317) 653-2730

Hospital & facility affiliations

  • Indiana University Health Hospital, Indianapolis, IN, CCN 150056

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Iu Health Medical Group, LLC CurrentSince Jul 1, 2025 Accepting new patients
Indiana University Health Care Associates, Inc CurrentSince Jul 1, 2015 Accepting new patients
University Family Physicians, Inc. CurrentSince Jul 21, 2015 Accepting new patients
University Family Physicians, Inc. Family Medicine CurrentSince Jul 21, 2015 Accepting new patients
Osh-in Physicians Group, PC Family Medicine CurrentSince Nov 10, 2025 Accepting new patients
University Medical Diagnostic Associates, Inc. Past Accepting new patients
Major Hospital Past Accepting new patients
Oak Street Health Physicians Group, PC Past Accepting new patients

Locations

5208 Reliable Pkwy
Chicago, IL 60686

7216 Solutions Ctr
Chicago, IL 60677

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

250 N Shadeland Ave
Ste 130
Indianapolis, IN 46219
Phone (317) 962-4836

4200 S East St
Indianapolis, IN 46227
Phone (317) 781-1061

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

9650 E Washington St
Ste 100
Indianapolis, IN 46229
Phone (317) 890-5500

1520 N Senate Ave
Indianapolis, IN 46202
Phone (317) 962-0857

1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000

5926 Crawfordsville Rd
#B
Speedway, IN 46224
Phone (317) 653-2730

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1335484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1710245626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE STE 130",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959",
            "telephone_number": "317-890-5500",
            "fax_number": "317-890-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9650 E WASHINGTON ST",
            "address_2": "STE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462293032",
            "telephone_number": "317-890-5500",
            "fax_number": "317-890-5566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4200 S East St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462271534",
            "country_code": "US",
            "telephone_number": "317-991-7600",
            "fax_number": "317-215-7030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISMAIL",
        "first_name": "AUSAMA",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-27",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01075182A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201093890",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aismail@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "9650 E Washington St",
            "address_2": "Ste 100",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462293032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.