ZIAD ISMAEL MD
NPI 1417096454
Internal Medicine - Pulmonary Disease in Jefferson Hills, PA

Active since February 06, 2007PECOS EnrolledAccepts Medicare Assignment
1200 BROOKS LN, SUITE 180, JEFFERSON HILLS, PA 15025(412) 469-3600(412) 469-3630 Get Directions Write a Review

NPPES record last updated: February 13, 2019. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Feb 13, 2019, Apr 10, 2018, Feb 17, 2017 (3 updates tracked since 2017).

About Ziad Ismael Md NPPES

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

ZIAD ISMAEL MD (NPI 1417096454) is an individual pulmonary disease provider in Jefferson Hills, Pennsylvania, licensed in Pennsylvania (MD457179) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Washington Hospital, The, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1417096454
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameZIAD ISMAELCredential: MD
Location Address1200 BROOKS LN, SUITE 180Jefferson Hills, PA 15025-3747
Mailing Address1200 Brooks Lane, Suite 180Jefferson Hills, PA 15025-3749 · (412) 469-3600 · Fax (412) 469-3630
Fax(412) 469-3630
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateFebruary 6, 2007
Last NPPES UpdateFebruary 13, 20193 updates tracked since enumeration
✔ NPI 1417096454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in PA · MD457179
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 Medicine · Critical Care MedicineTaxonomy 207RC0200X · License MD457179 (PA)
1200 BROOKS LN, Jefferson Hills, PA 15025

Other Identifiers 1

Medicaid103122233PA

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

Ziad Ismael 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 ID5294886776
PECOS Enrollment IDI20160829001063
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 12

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
82 services73 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
68 services57 patients
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.
64 services34 patients
Professional services for outpatient pulmonary rehabilitation with continuous monitoring of blood oxygen, per session 94626
Outpatient pulmonary rehabilitation involves exercises and education to improve lung function. During each session, your blood oxygen level is continuously monitored to ensure safety and effectiveness. This service aids in managing respiratory issues.
56 services15 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
54 services54 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
52 services52 patients

Hospital Affiliations CMS Care Compare 2

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

Washington Hospital, The

Acute Care Hospitals · Washington, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390042
Location155 Wilson AvenueWashington, PA 15301 · Washington County
Emergency services Birthing friendly

Washington Health System Greene

Acute Care Hospitals · Waynesburg, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390150
Location350 Bonar AvenueWaynesburg, PA 15370 · Greene County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15025 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Reported Quality Measures

Chronic Obstructive Pulmonary Disease (COPD): Spirometry Evaluation
Percentage of patients aged 18 years and older with a diagnosis of COPD who had spirometry results documented
97%32 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
100%65 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
94%68 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 14

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers11 claims22 services$29.71 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
3 suppliers11 claims11 services$16.58 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers26 claims98 services$1.83 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers20 claims20 services$16.05 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
2 suppliers17 claims17 services$918.79 avg. paid by Medicare
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470
DME-Other DME · category DE001N
2 suppliers16 claims16 services$93.56 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Orthopaedic Surgery
1200 BROOKS LN, SUITE 240
CLAIRTON, PA 15025
Internal Medicine (Gastroenterology)
1200 BROOKS LN, STE G10
CLAIRTON, PA 15025
Physician Assistant
1200 BROOKS LN, SUITE 290
JEFFERSON HILLS, PA 15025
Nurse Practitioner
1200 BROOKS LN, SUITE NUMBER 285
CLAIRTON, PA 15025
Internal Medicine (Critical Care Medicine)
1200 BROOKS LN, SUITE 130
JEFFERSON HILLS, PA 15025
Family Medicine
1200 BROOKS LN, SUITE 290
JEFFERSON HILLS, PA 15025
Physician Assistant
1200 BROOKS LN, SUITE 290
JEFFERSON HILLS, PA 15025
Clinic/Center (Sleep Disorder Diagnostic)
1200 BROOKS LN, SUITE 140
JEFFERSON HILLS, PA 15025

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 Ziad Ismael's NPI number?

The NPI number for Ziad Ismael is 1417096454. It was assigned to this individual provider in the NPPES registry on February 6, 2007.

Where is Ziad Ismael located?

Ziad Ismael practices at 1200 Brooks Ln Suite 180, Jefferson Hills, PA 15025. The listed phone number is (412) 469-3600.

What is Ziad Ismael's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Ziad Ismael enrolled in Medicare?

Yes. Ziad Ismael 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.

Is Ziad Ismael affiliated with any hospitals?

According to CMS data, Ziad Ismael is affiliated with Washington Hospital, The and Washington Health System Greene.

When was this NPI record last updated?

The NPPES record for Ziad Ismael was last updated on February 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.