MOURAD M ISMAIL M.D.
NPI 1386686269
Internal Medicine - Critical Care Medicine in Paterson, NJ

Q: What is Mourad Ismail's NPI number?

The NPI number for Mourad Ismail is 1386686269. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Q: What is Mourad Ismail's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Q: When was this NPI record last updated?

The NPPES record for Mourad Ismail was last updated on October 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since June 12, 2006PECOS EnrolledAccepts Medicare Assignment

703 MAIN ST, DEPARTMENT OF MEDICINE, PATERSON, NJ 07503(973) 754-3970 Get Directions Write a Review

NPPES record last updated: October 25, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Mourad M Ismail M.d. NPPES

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

MOURAD M ISMAIL M.D. (NPI 1386686269) is an individual critical care medicine provider in Paterson, New Jersey, licensed in New Jersey (25MA07839900) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with St Joseph's University Medical Center Inc, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1386686269

Entity TypeIndividualMale

Primary Taxonomy207RC0200X

Provider Legal NameMOURAD M ISMAILCredential: M.D.

Location Address703 MAIN ST, DEPARTMENT OF MEDICINEPaterson, NJ 07503-2621

Mailing Address703 Main St, St. Joseph's Regional Medical CenterPaterson, NJ 07503-2621 · (973) 754-2052

Phone(973) 754-3970

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateJune 12, 2006

Last NPPES UpdateOctober 25, 2024

NPPES CertifiedOctober 25, 2024

✔ NPI 1386686269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RC0200X

License✔ Licensed in NJ · 25MA07839900

Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedInternal MedicineTaxonomy 207R00000X · License 25MA07839900 (NJ)

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 25MA07839900 (NJ)

Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 25MA07839900 (NJ)

703 MAIN ST, Paterson, NJ 07503

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Other Identifiers 1

Medicaid0078964NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Mourad M Ismail M.d. 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 ID3779516059

PECOS Enrollment IDI20050916000733

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.

Medicare Billing Reassignments

Medicare enrollment records show Mourad Ismail reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Joseph's Healthcare, Inc.

Same address

Internal Medicine

703 MAIN ST, ST. JOSEPH'S REGIONAL MEDICAL CENTER
Paterson, NJ 07503

Reassigned Medicare billing, New Jersey enrollment
Medicare enrollment name: St Josephs Healthcare Inc
372 clinicians in this Medicare group

NPI 1497791297 (973) 754-2000

St Josephs Medical Group PC

Same address

Internal Medicine

703 MAIN ST
Paterson, NJ 07503

Reassigned Medicare billing, New Jersey enrollment
317 clinicians in this Medicare group

NPI 1205425519 (973) 754-2000

Rwjbh Observation Associates LLC

12 mi

Emergency Medicine

94 OLD SHORT HILLS RD
Livingston, NJ 07039

Reassigned Medicare billing, New Jersey enrollment
1,913 clinicians in this Medicare group

NPI 1760095806 (888) 724-7123

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 9

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

240 services94 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.

111 services61 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

78 services50 patients

Critical care, each additional 30 minutes 99292

Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.

35 services18 patients

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.

24 services24 patients

Ultrasonic guidance for blood vessel access 76937

Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.

20 services17 patients

Hospital Affiliations CMS Care Compare 2

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

St Joseph's University Medical Center Inc

Acute Care Hospitals · Paterson, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number310019

Location703 Main StPaterson, NJ 07503 · Passaic County

Birthing friendly

Cooperman Barnabas Medical Center

Acute Care Hospitals · Livingston, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310076

Location94 Old Short Hills RoadLivingston, NJ 07039 · Essex County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07503 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

$144.86 typical visit price

range $63.84 – $190.92

Typical copayment $36.21 (range $15.96 – $47.73)

Most-billed visit code 99204

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

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.

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. SETAREH SHAMS MD

Obstetrics & Gynecology (Obstetrics)