Individual provider Active NPI

Imran T Ismail, D.O.

  • Interventional Cardiology Physician
  • Zephyrhills, FL
National Provider Identifier
1962650028
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
OS10524 Issued in FL
Practice address
6606 Stadium Dr Ste a
Zephyrhills, FL 33542-7510
Phone
(813) 788-5575
Fax
(813) 355-5047
NPI assigned
Sep 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X APPLIED FOR FL
Hospitalist Physician 208M00000X OS10524 FL
Interventional Cardiology Physician 207RI0011X OS10524 FL Primary

Addresses

Primary practice location

6606 Stadium Dr Ste a
Zephyrhills, FL 33542-7510

Mailing address

38135 Market SQ
Zephyrhills, FL 33542-7505
Phone (813) 788-5575

Other practice location 1

292 Valencia Cir
St Petersburg, FL 33716-1214
Phone (813) 728-8191

Other practice location 2

292 Valencia Cir
St Petersburg, FL 33716-1214
Phone (813) 728-8191

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cardzh@flmed.directbygreenway.com Health Information Exchange (HIE)

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
I20100921001231 FL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4688790173 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2007
Medicare assignment
May accept Medicare assignment
Group practices
West Florida Cardiovascular Co-Management Associates, LLCGroup PAC ID 0547538316, 36 clinicians
Ohi West Medical Group II LLCGroup PAC ID 0648631192, 407 clinicians

Practice addresses (Care Compare)

3100 E Fletcher Ave
Tampa, FL 33613-4613
Phone (800) 432-2301

6606 Stadium Dr
Zephyrhills, FL 33542-7510
Phone (813) 788-5575

Hospital & facility affiliations

  • Adventhealth Zephyrhills Hospital, Zephyrhills, FL, CCN 100046
  • Adventhealth Dade City Hospital, Dade City, FL, CCN 100211
  • Adventhealth Wesley Chapel Hospital, Wesley Chapel, FL, CCN 100319
  • Adventhealth Tampa Hospital, Tampa, FL, CCN 100173
  • Baycare Hospital Wesley Chapel Hospital, Wesley Chapel, FL, CCN 100362

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting26
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APPLIED FORFLMDInternal Medicine Physician
OS10524FLMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Pensacola LLC Internal Medicine CurrentSince Mar 1, 2012 Accepting new patients
Cogent Healthcare of Pensacola LLC Internal Medicine Current Accepting new patients
Florida Medical Clinic LLC CurrentSince Oct 1, 2017 Accepting new patients
Cogent Healthcare of Pensacola LLC Internal Medicine CurrentSince Mar 1, 2012 Accepting new patients
Florida Medical Clinic, LLC CurrentSince Oct 1, 2017 Accepting new patients
Ohi West Medical Group II LLC CurrentSince May 1, 2024 Accepting new patients
West Florida Cardiovascular Co-Management Associates, LLC CurrentSince Jan 1, 2021 Accepting new patients
Ohi West Medical Group II LLC Internal Medicine CurrentSince May 1, 2024 Accepting new patients
Ohi West Medical Group II LLC PastSince Jan 19, 2020 Accepting new patients

Locations

17240 Cortez Blvd
Brooksville, FL 34601
Phone (352) 544-6060

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

601 E Rollins St
Ste 400
Orlando, FL 32803
Phone (407) 228-6573

3100 E Fletcher Ave
Tampa, FL 33613
Phone (813) 615-7200

6606 Stadium Dr
Zephyrhills, FL 33542
Phone (813) 788-5575

38135 Market Square Dr
Zephyrhills, FL 33542
Phone (352) 567-0188

38105 Market Square Dr
Zephyrhills, FL 33542
Phone (321) 841-4449

6606 Stadium Dr
Ste A
Zephyrhills, FL 33542
Phone (813) 788-5575

38135 Market Square Dr
Ste 101
Zephyrhills, FL 33542
Phone (813) 788-7651

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 9

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 6

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": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1962650028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38135 MARKET SQ",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335427505",
            "telephone_number": "813-788-5575",
            "fax_number": "813-355-5047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6606 STADIUM DR STE A",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335427510",
            "telephone_number": "813-788-5575",
            "fax_number": "813-355-5047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "292 Valencia Cir",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337161214",
            "country_code": "US",
            "telephone_number": "813-728-8191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "292 Valencia Cir",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337161214",
            "country_code": "US",
            "telephone_number": "813-728-8191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISMAIL",
        "first_name": "IMRAN",
        "middle_name": "T",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-03",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "APPLIED FOR",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "OS10524",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "OS10524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cardzh@flmed.directbygreenway.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "6606 Stadium Dr Ste A",
            "city": "Zephyrhills",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335427510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Zephyrhills, FL

Sources for this page

Verify at the official NPI Registry.