MARIA AL ISMAIL
NPI 1063824464
Dentist - Pediatric Dentistry in Detroit, MI

Q: What is Maria Al Ismail's NPI number?

The NPI number for Maria Al Ismail is 1063824464. It was assigned to this individual provider in the NPPES registry on May 20, 2014.

Q: What is Maria Al Ismail's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Q: When was this NPI record last updated?

The NPPES record for Maria Al Ismail was last updated on September 2, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 20, 2014PECOS Enrolled

2700 MARTIN LUTHER KING JR BLVD, DETROIT, MI 48208(313) 494-6685 Get Directions Write a Review

NPPES record last updated: September 2, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Maria Al Ismail NPPES

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

MARIA AL ISMAIL (NPI 1063824464) is an individual pediatric dentistry provider in Detroit, Michigan, licensed in Michigan (2901601028) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063824464

Entity TypeIndividualFemale

Primary Taxonomy1223P0221X

Provider Legal NameMARIA AL ISMAIL

Location Address2700 MARTIN LUTHER KING JR BLVDDetroit, MI 48208-2576

Mailing Address50136 Woodford DrCanton, MI 48188-2863 · (857) 272-2572

Phone(313) 494-6685

Sole ProprietorNo

Enumeration DateMay 20, 2014

Last NPPES UpdateSeptember 2, 2021

NPPES CertifiedSeptember 2, 2021

✔ NPI 1063824464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

Licenses✔ Licensed in MI · 2901601028✔ Licensed in MA · DF11463

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2700 MARTIN LUTHER KING JR BLVD, Detroit, MI 48208

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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 (PECOS)

Maria Al Ismail is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48208 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

Most-billed visit code 99213

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 20

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

DR. SWATI DINESH CHITRE DDS,MSD

Dentist