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DR. MONA S. ISMAIL M.D.
NPI 1053355834
Psychiatry & Neurology - Child & Adolescent Psychiatry in Wilmington, NC

Active since June 15, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
559 MUSKET BAY DR, WILMINGTON, NC 28412(917) 455-8691 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Mona S. Ismail M.d. NPPES

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

DR. MONA S. ISMAIL M.D. (NPI 1053355834) is an individual child & adolescent psychiatry provider in Wilmington, North Carolina, licensed in North Carolina (2020-04074) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1053355834
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameDR. MONA S. ISMAILCredential: M.D.
Location Address559 MUSKET BAY DRWilmington, NC 28412-5421
Mailing Address559 Musket Bay DrWilmington, NC 28412-5421 · (347) 690-0881
Phone(917) 455-8691
Sole ProprietorYes
Medical School CMSOtherGraduated 1996
Enumeration DateJune 15, 2006
Last NPPES UpdateMay 1, 2025
NPPES CertifiedMay 1, 2025
✔ NPI 1053355834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Licenses✔ Licensed in NC · 2020-04074✔ Licensed in NJ · 25MA07582300
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 2020-04074 (NC), 25MA07582300 (NJ)
559 MUSKET BAY DR, Wilmington, NC 28412
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Secondary Practice Locations 3

Location 153 Frontage Rd Fl 1Hampton, NJ 08827-4031 · Phone (833) 351-8255
Location 2109 W 27th St Ste 55New York, NY 10001-0265 · Phone (833) 351-8255
Location 315000 Weston Pkwy Ofc 171Cary, NC 27513-2118 · Phone (833) 351-8255

Other Identifiers 1

Medicaid02395715NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Cigna Healthcare, Cigna HealthCare of Florida, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mona S. Ismail M.d. 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 ID5294778593
PECOS Enrollment IDI20201006000838
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Mona Ismail reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Coastal Carolina Neuropsychiatric Center, PA
52 mi
Psychiatry
200 TARPON TRAIL
Jacksonville, NC 28546
  • Reassigned Medicare billing, North Carolina enrollment
  • 39 clinicians in this Medicare group
NPI 1184737462 (910) 938-1114
Mission Community Anesthesiology Specialists LLC
275 mi
Gastroenterology
2695 HENDERSONVILLE RD STE 206
Arden, NC 28704
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Mission Health Community Multispecialty Providers LLC
  • 824 clinicians in this Medicare group
NPI 1841760238 (828) 213-1740
Mccd Fl Psychiatry Services PA
343 mi
Psychiatry
1301 RIVERPLACE BLVD STE 800
Jacksonville, FL 32207
  • Reassigned Medicare billing, North Carolina enrollment
  • 68 clinicians in this Medicare group
NPI 1659003457 (833) 351-8255
Physician Partners Of Englewood, PC
500 mi
Internal Medicine
2 JOURNAL SQUARE, 2ND FLR
Jersey City, NJ 07306
  • Reassigned Medicare billing, New Jersey enrollment
  • 121 clinicians in this Medicare group
NPI 1154671501 (201) 963-7000
Helene Miller, MD, LLC
512 mi
Child & Adolescent Psychiatry
17 ARCADIAN WAY, SUITE 108
Paramus, NJ 07652
  • Reassigned Medicare billing, New Jersey enrollment
  • 13 clinicians in this Medicare group
NPI 1902261530 (201) 316-5581

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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 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.
53 services25 patients
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.
45 services27 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
29 services29 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability96
Improvement Activities40

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 Mona Ismail's NPI number?

The NPI number for Mona Ismail is 1053355834. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Mona Ismail located?

Mona Ismail practices at 559 Musket Bay Dr, Wilmington, NC 28412. The listed phone number is (917) 455-8691.

What is Mona Ismail's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Mona Ismail enrolled in Medicare?

Yes. Mona 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.

Which organizations bill Medicare for Mona Ismail's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mona Ismail reassigns Medicare benefits to 5 organizations: Coastal Carolina Neuropsychiatric Center, PA (Jacksonville, NC), Mission Community Anesthesiology Specialists LLC (Arden, NC), Mccd Fl Psychiatry Services PA (Jacksonville, FL), Physician Partners Of Englewood, PC (Jersey City, NJ) and Helene Miller, MD, LLC (Paramus, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mona Ismail's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mona Ismail accept?

Health plans from AmeriHealth Caritas Next, Cigna HealthCare of Florida, Inc., Cigna Healthcare, Oscar Health and UnitedHealthcare list Mona 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.

When was this NPI record last updated?

The NPPES record for Mona Ismail was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.