Active NPI
Mahmoud I Ismail, MD
- Internal Medicine Physician
- Erie, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD429239
- Practice address
- 201 State Street
Hamot Faculty Specialists
Erie, PA 16550-0002 - Phone
- (814) 877-6000
- NPI assigned
- Jun 22, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 226415 | NY | |
| Internal Medicine Physician | 207R00000X | MD429239 | PA | Primary |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 226415 | NY |
Addresses
Primary practice location
201 State Street
Hamot Faculty Specialists
Erie, PA 16550-0002
Mailing address
717 State Street
Suite 16 LL Regional Health Services, Inc
Erie, PA 16501-1360
Phone (814) 480-7100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101736840 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 High St
Buffalo, NY 14203-1126
Phone (716) 859-5600
Hospital & facility affiliations
- Erie County Medical Center
- Kaleida Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 226415 | NY | MD | Internal Medicine Physician |
| MD429239 | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excela Health Physician Practices, Inc | Current | Accepting new patients | |
| Academic Medicine Services, Inc. | Internal Medicine | Current | Accepting new patients |
| Excela Health Physician Practices, Inc. | Current | Accepting new patients | |
| Warren General Hospital | Internal Medicine | Past | Accepting new patients |
| Warren General Hospital | Past | Accepting new patients | |
| Kaleida Health | Past | Accepting new patients | |
| Erie County Medical Center Corporation | Past | Accepting new patients |
Locations
462 Grider St
Fl 11
Buffalo, NY 14215
Phone (716) 898-4803
100 High St
Buffalo, NY 14203
Phone (716) 632-3700
4498 Main St
Ste 23
Buffalo, NY 14226
505 Foote Ave
Jamestown, NY 14701
Phone (716) 483-2285
621 10th St
North Falls, NY 14301
Phone (716) 278-4000
532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000
Interoperability endpoints
- mismail@direct.excelahealth.org
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Williamsville, NY
- NPI 1255394763
-
- Cardiovascular Disease Physician
- Greensburg, PA
- NPI 1821225202
-
- Neurological Surgery Physician
- Latrobe, PA
- NPI 1083002661
-
- Medicare Defined Swing Bed Hospital Unit
- Warren, PA
- NPI 1407199227
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1437197985
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1639209596
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1437197985
-
- General Acute Care Hospital
- Williamsville, NY
- NPI 1053441907
-
- General Acute Care Hospital
- North Tonawanda, NY
- NPI 1104956358
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1245365196
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1366473183
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1639209596
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1831229780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244678400000",
"number": "1912903253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "717 STATE STREET",
"address_2": "SUITE 16 LL REGIONAL HEALTH SERVICES, INC",
"city": "ERIE",
"state": "PA",
"postal_code": "165011360",
"telephone_number": "814-480-7100",
"fax_number": "814-480-7604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 STATE STREET",
"address_2": "HAMOT FACULTY SPECIALISTS",
"city": "ERIE",
"state": "PA",
"postal_code": "165500002",
"telephone_number": "814-877-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISMAIL",
"first_name": "MAHMOUD",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-22",
"last_updated": "2009-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "226415",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD429239",
"primary": true
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "NY",
"license": "226415",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101736840",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2009; 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.