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MOHAMMED ISMAIL MD PC
NPI 1306935895
Internal Medicine in Waterford, NY

Active since October 12, 2006CLIA 33D0878106 · Waiver
46 3RD ST, WATERFORD, NY 12188(518) 237-0641(518) 235-6401 Get Directions Write a Review

NPPES record last updated: August 23, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mohammed Ismail Md Pc NPPES

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

MOHAMMED ISMAIL MD PC (NPI 1306935895) is a healthcare organization registered as an internal medicine in Waterford, New York and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through January 16, 2028 and lists Mohammed Ismail, Owner, as its authorized official.

NPPES Registry Identity

NPI1306935895
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMOHAMMED ISMAIL MD PC
Location Address46 3RD STWaterford, NY 12188
Mailing Address46 3rd StWaterford, NY 12188 · (518) 237-0641 · Fax (518) 235-6401
Phone(518) 237-0641
Fax(518) 235-6401
Organization SubpartNo
Authorized OfficialMohammed IsmailOwner · (518) 237-0641
Enumeration DateOctober 12, 2006
Last NPPES UpdateAugust 23, 2011
✔ NPI 1306935895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 227997
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
46 3RD ST, Waterford, NY 12188
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Other Identifiers 2

Medicaid02217870NY
Medicare ID-Type Unspecified53949ANY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D0878106

Mohammed Ismail MD, PC · Waterford, NY
Active · expires Jan 16, 2028
CLIA Number33D0878106
Laboratory TypePhysician Office
Certificate Effective DateJanuary 17, 2026
Certificate Expiration DateJanuary 16, 2028
Laboratory DirectorDr. Adila Nathu
Laboratory Phone(518) 237-0641
Laboratory LocationMohammed Ismail MD, PC46 Third Street, Waterford, NY 12188
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

GHAZALA NATHU
Pathology (Clinical Pathology)
46 3RD ST
WATERFORD, NY 12188
Saratoga County (518) 237-0641
DR. ADILA NATHU MD,PA
Pathology (Clinical Pathology)
46 3RD ST
WATERFORD, NY 12188
Saratoga County (518) 237-0641
ZAHID NAZIR M.D.
Internal Medicine
46 3RD ST
WATERFORD, NY 12188
Saratoga County (518) 237-0641

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 Mohammed Ismail MD PC's NPI number?

The NPI number for Mohammed Ismail MD PC is 1306935895. It was assigned to this organization in the NPPES registry on October 12, 2006.

Where is Mohammed Ismail MD PC located?

Mohammed Ismail MD PC is located at 46 3rd St, Waterford, NY 12188. The listed phone number is (518) 237-0641.

What is Mohammed Ismail MD PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Mohammed Ismail MD PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0878106) is associated with this NPI, valid through January 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mohammed Ismail MD PC was last updated on August 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.