Individual provider Active NPI

Samya Ismail, FNP

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1801498084
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
346881 Issued in NY
Practice address
555 Laguardia PL
New York, NY 10012-1402
Phone
(212) 263-2446
NPI assigned
Nov 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 346881 NY Primary

Addresses

Primary practice location

555 Laguardia PL
New York, NY 10012-1402

Mailing address

1440 Broadway
New York, NY 10018-2301
Phone (212) 221-3844

Other practice location 1

301 East 47
12F
New york, NY 10017
Phone (714) 727-7488

Other practice location 2

1440 Broadway
New York, NY 10018-2301
Phone (212) 221-3844

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sismail497199@nyumc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210325000739 NY Practitioner - Nurse Practitioner 9537576251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

111 Broadway
FL 2
New York, NY 10006-1995
Phone (212) 263-9701

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
346881NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Apr 11, 2022 Accepting new patients
New York University CurrentSince Apr 11, 2022 Accepting new patients

Locations

555 Laguardia Pl
New York, NY 10012
Phone (212) 263-2446

55 E 55th St
New York, NY 10022
Phone (212) 750-9095

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: sismail497199@nyumc.direct-ci.com

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": "1605139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1801498084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100182301",
            "telephone_number": "212-221-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 LAGUARDIA PL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100121402",
            "telephone_number": "212-263-2446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 East 47",
            "address_2": "12F",
            "address_purpose": "LOCATION",
            "city": "New york",
            "state": "NY",
            "postal_code": "10017",
            "country_code": "US",
            "telephone_number": "714-727-7488",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1440 Broadway",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100182301",
            "country_code": "US",
            "telephone_number": "212-221-3844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISMAIL",
        "first_name": "SAMYA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-12",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "346881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sismail497199@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "555 LaGuardia Pl",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100121402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.