AHMAD M ISMAIL MD
NPI 1104911650
Internal Medicine - Pulmonary Disease in Lancaster, SC

Active since October 03, 2006PECOS EnrolledAccepts Medicare Assignment
81.48/100
CMS Quality Rating
800 W MEETING ST, LANCASTER, SC 29720(803) 286-1214 Get Directions Write a Review

NPPES record last updated: March 2, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 2, 2026, Sep 17, 2019, Aug 27, 2019 and 1 more (4 updates tracked since 2017).

About Ahmad M Ismail Md NPPES

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

AHMAD M ISMAIL MD (NPI 1104911650) is an individual pulmonary disease provider in Lancaster, South Carolina, licensed in North Carolina (2013-01144) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Uniontown Hospital, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1104911650
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameAHMAD M ISMAILCredential: MD
Location Address800 W MEETING STLancaster, SC 29720-2202
Mailing AddressPo Box 23321New York, NY 10087-4321 · (803) 286-1214
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateOctober 3, 2006
Last NPPES UpdateMarch 2, 20264 updates tracked since enumeration
NPPES CertifiedMarch 2, 2026
NPI 1104911650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in NC · 2013-01144
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License MD13041 (RI)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 39138 (SC), 2013-01144 (NC)
800 W MEETING ST, Lancaster, SC 29720

Other Identifiers 5

Medicaid110087997AMA
Medicaid39138ASC
Other001233601RI · Medicare Ptan
Other39138SC · Ml
MedicaidAI77047RI

Accepted 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

Ahmad M Ismail Md 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 ID941356646
PECOS Enrollment IDI20160527000328, I20241127003552
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

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
28 services27 patients

Hospital Affiliations CMS Care Compare 2

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

Uniontown Hospital

Acute Care Hospitals · Uniontown, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390041
Location500 West Berkeley StreetUniontown, PA 15401 · Fayette County
Emergency services

Musc Health Columbia Medical Center Downtown

Acute Care Hospitals · Columbia, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420026
Location2435 Forest DriveColumbia, SC 29204 · Richland County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29720 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

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.

81.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.93
Promoting Interoperability82
Improvement Activities40
Cost72.35

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.

Emergency Medicine
800 W MEETING ST
LANCASTER, SC 29720
Emergency Medicine
800 W MEETING ST
LANCASTER, SC 29720
Physician Assistant
800 W MEETING ST
LANCASTER, SC 29720
Emergency Medicine
800 W MEETING ST
LANCASTER, SC 29720
Physician Assistant
800 W MEETING ST
LANCASTER, SC 29720
Family Medicine
800 W MEETING ST
LANCASTER, SC 29720
Nurse Anesthetist, Certified Registered
800 W MEETING ST
LANCASTER, SC 29720
Physical Therapist
800 W MEETING ST
LANCASTER, SC 29720

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104911650, enumerated as an "individual" on October 03, 2006.

The provider is located at 800 W MEETING ST LANCASTER, SC 29720 and the phone number is (803) 286-1214.

Internal Medicine with taxonomy code 207RP1001X and a focus in Pulmonary Disease.

The provider might be accepting Accepts: BlueCross BlueShield of South Carolina,. Please consult your insurance carrier or call the provider to verify.

Ahmad Ismail is affiliated with: UNIONTOWN HOSPITAL and MUSC HEALTH COLUMBIA MEDICAL CENTER DOWNTOWN.