ABDULRAHIM ISMAIL MD
NPI 1184011975
Psychiatry & Neurology - Neurology in Bloomington, IN

Active since April 20, 2015PECOS EnrolledAccepts Medicare Assignment
77.28/100
CMS Quality Rating
2651 E DISCOVERY PKWY, BLOOMINGTON, IN 47408(812) 353-5222(812) 353-5262 Get Directions Write a Review

NPPES record last updated: June 28, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 5, 2023, Dec 8, 2021, Jun 29, 2020 (3 updates tracked since 2020).

About Abdulrahim Ismail Md NPPES

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

ABDULRAHIM ISMAIL MD (NPI 1184011975) is an individual neurology provider in Bloomington, Indiana, licensed in Indiana (01090117A) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Aspirus Wausau Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1184011975
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameABDULRAHIM ISMAILCredential: MD
Location Address2651 E DISCOVERY PKWYBloomington, IN 47408-9059
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Fax(812) 353-5262
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateApril 20, 2015
Last NPPES UpdateJune 28, 20233 updates tracked since enumeration
NPPES CertifiedJune 28, 2023
NPI 1184011975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses Licensed in IN · 01090117A Licensed in WI · 7345620
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
2651 E DISCOVERY PKWY, Bloomington, IN 47408

Other Identifiers 2

Other090540860IN · Medicare Ptan
Medicaid300075636IN

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

Abdulrahim 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 ID5294013173
PECOS Enrollment IDI20200623001345
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 4

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
18 services18 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
18 services16 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
14 services12 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

Aspirus Wausau Hospital

Acute Care Hospitals · Wausau, WI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number520030
Location333 Pine Ridge BlvdWausau, WI 54401 · Marathon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47408 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
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.

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.

77.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.71
Promoting Interoperability100
Improvement Activities40
Cost50.58

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.

Student in an Organized Health Care Education/Training Program
2651 E DISCOVERY PKWY
BLOOMINGTON, IN 47408
Pathology (Anatomic Pathology & Clinical Pathology)
2651 E DISCOVERY PKWY
BLOOMINGTON, IN 47408
Clinical Nurse Specialist
2651 E DISCOVERY PKWY
BLOOMINGTON, IN 47408
Clinic/Center (Multi-Specialty)
2651 E DISCOVERY PKWY
BLOOMINGTON, IN 47408
Nurse Practitioner (Gerontology)
2651 E DISCOVERY PKWY
BLOOMINGTON, IN 47408
Physician Assistant
2651 E DISCOVERY PKWY
BLOOMINGTON, IN 47408
Internal Medicine
2651 E DISCOVERY PKWY
BLOOMINGTON, IN 47408
Psychiatry & Neurology (Psychiatry)
2651 E DISCOVERY PKWY
BLOOMINGTON, IN 47408

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 Abdulrahim Ismail's NPI number?

The NPI number for Abdulrahim Ismail is 1184011975. It was assigned to this individual provider in the NPPES registry on April 20, 2015.

Where is Abdulrahim Ismail located?

Abdulrahim Ismail practices at 2651 E Discovery Pkwy, Bloomington, IN 47408. The listed phone number is (812) 353-5222.

What is Abdulrahim Ismail's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Abdulrahim Ismail enrolled in Medicare?

Yes. Abdulrahim 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 Abdulrahim Ismail accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Blue Cross and Blue Shield of Kansas City, HealthPartners and Medica list Abdulrahim 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 Abdulrahim Ismail affiliated with any hospitals?

According to CMS data, Abdulrahim Ismail is affiliated with Aspirus Wausau Hospital.

When was this NPI record last updated?

The NPPES record for Abdulrahim Ismail was last updated on June 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.