Individual provider Active NPI

Timothy L Ishmael, MD

  • Family Medicine Physician
  • Cedar Rapids, IA
National Provider Identifier
1902856198
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036101065 Issued in IL
Practice address
2375 Edgewood Rd SW
Cedar Rapids, IA 52404-4736
Phone
(319) 396-1983
Fax
(319) 739-4372
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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 036101065 IL Primary

Addresses

Primary practice location

2375 Edgewood Rd SW
Cedar Rapids, IA 52404-4736

Mailing address

1285 Franciscan Dr
Litchfield, IL 62056-1778
Phone (217) 324-6127

Other identifiers 3

IdentifierTypeStateIssuer
036101065MedicaidIL
080157450OtherILRAILROAD MEDICARE
779330OtherILMEDICARE PART B GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101019001262 IL Practitioner - Family Practice 3274443627 Reassigns benefits to 1 organization
I20250925004031 IA Practitioner - Family Practice 3274443627 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Southern Illinois University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Litchfield Family Practice CenterGroup PAC ID 2466362819, 18 clinicians
Iowa Physicians Clinic Medical FoundationGroup PAC ID 8729992318, 1,254 clinicians

Practice addresses (Care Compare)

1285 Franciscan Dr
Litchfield, IL 62056-1778
Phone (217) 324-6127

2375 Edgewood Rd SW
Cedar Rapids, IA 52404-4736
Phone (319) 396-1983

Hospital & facility affiliations

  • HSHS Home Care Illinois Home health agency, Effingham, IL, CCN 147661
  • St Lukes Hospital Hospital, Cedar Rapids, IA, CCN 160045
  • St Francis Hospital Hospital, Litchfield, IL, CCN 141350
  • Hillsboro Area Hospital Hospital, Hillsboro, IL, CCN 141332

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036101065ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Methodist Hospital Current Accepting new patients
Iowa Physicians Clinic Medical Foundation Family Medicine CurrentSince Nov 3, 2025 Accepting new patients
Litchfield Family Practice Center Family Medicine Current Accepting new patients
Litchfield Family Practice Center Family Medicine CurrentSince Aug 1, 2000 Accepting new patients
St Francis Hospital of the Hospital Sisters of the Third Order of St F PastSince Jun 1, 2025 Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

2375 Edgewood Rd SW
Cedar Rapids, IA 52404
Phone (319) 396-1983

1776 Westlakes Pkwy
Ste 400
West Des Moines, IA 50266
Phone (515) 241-6161

1285 Franciscan Dr
Litchfield, IL 62056
Phone (217) 324-1035

Interoperability endpoints

  • Direct secure messaging: tishmael1221722@direct.unitypoint.org
  • Direct secure messaging: timothyishmael@lfpc.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Litchfield Family Practice CenterLitchfield, IL, CCN 143822 Rural health clinic 5% Or Greater Direct Ownership Interest
General Partnership Interest
Nov 1, 2002
Nov 1, 2002

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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 5

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1902856198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1285 FRANCISCAN DR",
            "city": "LITCHFIELD",
            "state": "IL",
            "postal_code": "620561778",
            "telephone_number": "217-324-6127",
            "fax_number": "217-324-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 EDGEWOOD RD SW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524044736",
            "telephone_number": "319-396-1983",
            "fax_number": "319-739-4372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISHMAEL",
        "first_name": "TIMOTHY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036101065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036101065",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080157450",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B GROUP",
            "identifier": "779330",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.