Individual provider Active NPI

Hummayun Ismail, M.D.

  • Pulmonary Disease Physician
  • Newark, DE
National Provider Identifier
1962422469
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
C10005113 Issued in DE
Practice address
550 Stanton Christiana Rd Ste 103
Newark, DE 19713-2131
Phone
(302) 633-9033
Fax
(302) 633-9032
NPI assigned
Jul 20, 2006
Last updated
Apr 14, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X C10005113 DE Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X C10005113 DE

Addresses

Primary practice location

550 Stanton Christiana Rd Ste 103
Newark, DE 19713-2131

Mailing address

550 Stanton Christiana Rd Ste 103
Newark, DE 19713-2131
Phone (302) 633-9033

Other identifiers 1

IdentifierTypeStateIssuer
0000963901MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, MD2 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
I20050120000356 DE Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 7214986918 Reassigns benefits to 3 organizations
I20160928000060 MD Practitioner - Pulmonary DiseasePractitioner - Sleep Medicine 7214986918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Sleep Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

106 Bow St
Elkton, MD 21921-5544
Phone (410) 398-8298

550 Stanton Christiana Rd
Suite 103
Newark, DE 19713-2131
Phone (302) 633-9033

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C10005113DEMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services, Inc CurrentSince Jan 1, 2001 Accepting new patients
Christiana Care Health Services, Inc Pulmonary Disease CurrentSince Oct 16, 2013 Accepting new patients
Javed Rheumatology Associates, Inc CurrentSince Sep 12, 2018 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Christiana Care Health Services Inc CurrentSince Jan 1, 2001 Accepting new patients

Locations

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

537 Stanton Christiana Rd
Ste 212
Newark, DE 19713
Phone (302) 633-9033

550 Stanton Christiana Rd
Ste 103
Newark, DE 19713
Phone (302) 633-9033

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1962422469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 STANTON CHRISTIANA RD STE 103",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132131",
            "telephone_number": "302-633-9033",
            "fax_number": "302-633-9032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 STANTON CHRISTIANA RD STE 103",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132131",
            "telephone_number": "302-633-9033",
            "fax_number": "302-633-9032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISMAIL",
        "first_name": "HUMMAYUN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "DE",
            "license": "C10005113",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "DE",
            "license": "C10005113",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000963901",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.