DR. ISMAIL A DANIA MD
NPI 1255326070
Emergency Medicine in Waupaca, WI
About Dr. Ismail A Dania Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ISMAIL A DANIA MD (NPI 1255326070) is an individual emergency medicine provider in Waupaca, Wisconsin, licensed in Florida (ME90745) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Louisville, and maintains a secondary practice location in Nags Head.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted 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. Ismail A Dania 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.
Medicare Billing Reassignments
27Medicare enrollment records show Ismail Dania reassigns Medicare billing to 27 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Waupaca, WI 54981
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1013995521 (Wisconsin)
- 110 clinicians in this Medicare group
New London, WI 54961
- Reassigned Medicare billing, Wisconsin enrollment
- 56 clinicians in this Medicare group
Wautoma, WI 54982
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1760413777 (Wisconsin)
- 55 clinicians in this Medicare group
Plover, WI 54467
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1952890873 (Wisconsin)
- 2,476 clinicians in this Medicare group
Shawano, WI 54166
- Reassigned Medicare billing, Wisconsin enrollment
- 70 clinicians in this Medicare group
Waupun, WI 53963
- Reassigned Medicare billing, Wisconsin enrollment
- 1,447 clinicians in this Medicare group
Marshfield, WI 54449
- Reassigned Medicare billing, Wisconsin enrollment
- 2,540 clinicians in this Medicare group
Neillsville, WI 54456
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1346239373 (Wisconsin)
- 1,283 clinicians in this Medicare group
Park Falls, WI 54552
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1700963048 (Wisconsin)
- 1,351 clinicians in this Medicare group
Chetek, WI 54728
- Reassigned Medicare billing, Wisconsin enrollment
- 1,616 clinicians in this Medicare group
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 5
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Baptist Health Louisville
Acute Care Hospitals · Louisville, KYMary Lanning Healthcare
Acute Care Hospitals · Hastings, NEThe Outer Banks Hospital, Inc
Critical Access Hospitals · Nags Head, NCThedacare Medical Center-Waupaca
Critical Access Hospitals · Waupaca, WIThedacare Medical Center - Shawano
Critical Access Hospitals · Shawano, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54981 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
WAUPACA, WI 54981
WAUPACA, WI 54981
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 Ismail Dania's NPI number?
The NPI number for Ismail Dania is 1255326070. It was assigned to this individual provider in the NPPES registry on September 19, 2005.
Where is Ismail Dania located?
Ismail Dania practices at 800 Riverside Dr, Waupaca, WI 54981. The listed phone number is (715) 258-1000.
What is Ismail Dania's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Ismail Dania enrolled in Medicare?
Yes. Ismail Dania 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 Ismail Dania's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ismail Dania reassigns Medicare benefits to 27 organizations: Thedacare Medical Center - Waupaca, Inc. (Waupaca, WI), Thedacare Medical Center - New London, Inc. (New London, WI), Thedacare Medical Center - Berlin, Inc. (Wautoma, WI), Mchs Hospitals, Inc. (Plover, WI), Thedacare Medical Center - Shawano, Inc. (Shawano, WI) and 22 more organizations, listed in the Medicare section above. 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 Ismail Dania's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ismail Dania accept?
Health plans from CHRISTUS Health Plan, CareSource, CareSource (Common Ground Healthcare) and Cigna Healthcare list Ismail Dania 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 Ismail Dania affiliated with any hospitals?
According to CMS data, Ismail Dania is affiliated with Baptist Health Louisville, Mary Lanning Healthcare, The Outer Banks Hospital, Inc, Thedacare Medical Center-Waupaca and Thedacare Medical Center - Shawano.
When was this NPI record last updated?
The NPPES record for Ismail Dania was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Ismail A Dania, MD · NPI 1255326070
Emergency Medicine physician in Waupaca, Wisconsin. Individual provider, active in the CMS NPPES registry since September 19, 2005.
## Identity
- **NPI:** 1255326070 (Entity type: Individual)
- **Enumerated:** September 19, 2005
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** ME90745 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 800 RIVERSIDE DR, Waupaca, WI 54981-1943
- **Phone:** (715) 258-1000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 27 organizations under Medicare reassignment (form CMS-855R): Thedacare Medical Center - Waupaca, Inc. (NPI 1780782680, Waupaca, WI); Thedacare Medical Center - New London, Inc. (NPI 1538127220, New London, WI); Thedacare Medical Center - Berlin, Inc. (NPI 1992159289, Wautoma, WI); Mchs Hospitals, Inc. (NPI 1386249894, Plover, WI); Thedacare Medical Center - Shawano, Inc. (NPI 1548260839, Shawano, WI); and 22 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Drexel University College Of Medicine, class of 2000
## Record status
- **NPPES last updated:** May 28, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1255326070) · Data from the CMS NPPES public registry.