Individual provider Active NPI

Saiqa I Ismail I, M.D.

  • Psychiatry Physician
  • Davie, FL
National Provider Identifier
1871794750
Registry record updated Nov 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME108770 Issued in FL
Practice address
3501 S University Dr
Suite 6
Davie, FL 33328-2001
Phone
(954) 888-7999
NPI assigned
May 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X ME108770 FL Primary

Addresses

Primary practice location

3501 S University Dr
Suite 6
Davie, FL 33328-2001

Mailing address

4740 N State Road 7
Suite 201
Lauderdale Lakes, FL 33319-5839
Phone (954) 486-4005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20111215000089 FL Practitioner - Psychiatry 7315112695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1994
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Ismail MD PAGroup PAC ID 0345565537, 2 clinicians

Practice addresses (Care Compare)

7707 N University Dr
Suite 204
Tamarac, FL 33321-2966
Phone (954) 621-1869

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME108770FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ismail M.D., P.a. Psychiatry CurrentSince May 1, 2017 Accepting new patients

Locations

10000 W Sample Rd
#A
Coral Springs, FL 33065
Phone (754) 812-1000

2000 N Federal Hwy
Ste 203
Pompano Beach, FL 33062
Phone (954) 783-0222

7707 N University Dr
Ste 204
Tamarac, FL 33321
Phone (954) 684-0833

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: saiqa.ismail.1@28804.direct.athenahealth.com
  • Direct secure messaging: saiqa.ismail.1@14931.direct.athenahealth.com

Organizations & group practices 1

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": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510790400000",
    "number": "1871794750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4740 N STATE ROAD 7",
            "address_2": "SUITE 201",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333195839",
            "telephone_number": "954-486-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 S UNIVERSITY DR",
            "address_2": "SUITE 6",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333282001",
            "telephone_number": "954-888-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISMAIL",
        "first_name": "SAIQA",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-30",
        "last_updated": "2017-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME108770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

Verify at the official NPI Registry.