Ismail Ahmad Shalaby, MD PHD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

D0055532 Issued in MD

Practice address

2801 Hudson Street
Upper Level Suite C
Baltimore, MD 21224

Phone

(410) 675-0050

Fax

(410) 675-4692

NPI assigned

Nov 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

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

Specialty

Ophthalmology

Education

Johns Hopkins University School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Care Associates of Maryland LLCGroup PAC ID 1850491994, 22 clinicians

University of Maryland Eye Associates, P.a.Group PAC ID 7719948835, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of MD Medical Center Midtown Campus Hospital, Baltimore, MD, CCN 210038

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ismail.shalaby.p1@direct.levineyecare.nextgenshare.com
• Direct secure messaging: ishalaby231445@direct.umm.edu

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.

• Eye Care Associates of MD, LLC

  • Ophthalmology Physician
  • Nottingham, MD
  • NPI 1588784235
  Medicare reassignment Care Compare group NPD
• University of Maryland Eye Associates, P.a.

  • Ophthalmology Physician
  • Baltimore, MD
  • NPI 1285655829
  Medicare reassignment Care Compare group NPD
• University of Maryland Eye Associates, P.a.

  • Eyewear Supplier
  • Columbia, MD
  • NPI 1194234849
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Maryland General Hospital Inc

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1669565180
  Care Compare affiliation

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278028800000",
    "number": "1881761815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1349 WEST SEMINARY AVENUE",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "21093",
            "telephone_number": "410-675-0050",
            "fax_number": "410-675-4692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 HUDSON STREET",
            "address_2": "UPPER LEVEL SUITE C",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21224",
            "telephone_number": "410-675-0050",
            "fax_number": "410-675-4692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHALABY",
        "first_name": "ISMAIL",
        "middle_name": "AHMAD",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2010-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0055532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "704001604",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Conrad Joshua Shakes
• Delaram Shakiba, MD
• Sara Shakin
• Zaid A Shakir, M.D.
• Pasha Shakoori, MD
• Julia Foster Shalen, M.D.
• Gavriel Shaliehsabou, DDS
• Kimchit Devorah Shaliyehsabou
• Shalom Tikvah Inc
• Sondra Shoshana Shamberg, OT

• Ophthalmology Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Ophthalmology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.