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SAMI ISMAIL DO
NPI 1033670385
Family Medicine in Cedar Lake, IN

Active since March 28, 2019PECOS EnrolledAccepts Medicare Assignment
13963 MORSE ST, CEDAR LAKE, IN 46303(219) 374-5555(219) 374-6669 Get Directions Write a Review

NPPES record last updated: August 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 9, 2022, Jul 11, 2019 (2 updates tracked since 2019).

About Sami Ismail Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMI ISMAIL DO (NPI 1033670385) is an individual family medicine provider in Cedar Lake, Indiana, licensed in Indiana (02006863A) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with St Mary Medical Center Inc, and maintains a secondary practice location in Saint John.

NPPES Registry Identity

NPI1033670385
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSAMI ISMAILCredential: DO
Location Address13963 MORSE STCedar Lake, IN 46303-9639
Mailing Address8558 BroadwayMerrillville, IN 46410-7032 · (219) 392-7084 · Fax (219) 703-6854
Phone(219) 374-5555
Fax(219) 374-6669
Sole ProprietorNo
Medical School CMSTouro Un Col Of Osteopathic Medicine, HendersonGraduated 2019
Enumeration DateMarch 28, 2019
Last NPPES UpdateAugust 9, 20222 updates tracked since enumeration
NPPES CertifiedAugust 9, 2022
✔ NPI 1033670385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 02006863A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License OL60971938 (WA)
13963 MORSE ST, Cedar Lake, IN 46303
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Secondary Practice Location 1

Location 19660 Wicker AveSaint John, IN 46373-9487 · Phone (219) 365-1177 · Fax (219) 703-6662

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sami Ismail Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032446752
PECOS Enrollment IDI20220727000623
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
85 services77 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
65 services51 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
22 services20 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
22 services20 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
21 services12 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
21 services21 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Mary Medical Center Inc

Acute Care Hospitals · Hobart, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150034
Location1500 S Lake Park AveHobart, IN 46342 · Lake County
Emergency services Birthing friendly

Community Hospital

Acute Care Hospitals · Munster, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150125
Location901 Macarthur BlvdMunster, IN 46321 · Lake County
Emergency services Birthing friendly

Franciscan Health Crown Point

Acute Care Hospitals · Crown Point, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150126
Location12750 Saint Francis DriveCrown Point, IN 46307 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46303 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GEORGE WILLIAM HARPER D.D.S.
Dentist (General Practice)
13963 MORSE ST, SUITE A
CEDAR LAKE, IN 46303
Lake County (219) 374-2400
AMANDA STOLARZ MSN, FNP-C
Nurse Practitioner (Family)
13963 MORSE ST
CEDAR LAKE, IN 46303
Lake County (219) 374-5555
DETAILED DENTAL
Dentist
13963 MORSE ST
CEDAR LAKE, IN 46303
Lake County (219) 374-2400
LAUREN LOCKE
Nurse Practitioner (Family)
13963 MORSE ST
CEDAR LAKE, IN 46303
Lake County (219) 374-5555
JON D. MISCH, D.O.,P.C.
General Practice
13963 MORSE ST
CEDAR LAKE, IN 46303
Lake County (219) 374-5555

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sami Ismail's NPI number?

The NPI number for Sami Ismail is 1033670385. It was assigned to this individual provider in the NPPES registry on March 28, 2019.

Where is Sami Ismail located?

Sami Ismail practices at 13963 Morse St, Cedar Lake, IN 46303. The listed phone number is (219) 374-5555.

What is Sami Ismail's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sami Ismail enrolled in Medicare?

Yes. Sami Ismail is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sami Ismail accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Sami Ismail as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sami Ismail affiliated with any hospitals?

According to CMS data, Sami Ismail is affiliated with St Mary Medical Center Inc, Community Hospital and Franciscan Health Crown Point.

When was this NPI record last updated?

The NPPES record for Sami Ismail was last updated on August 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.