1. Home
  2. Directory
  3. New York
  4. Brooklyn
  5. General Practice
  6. NPI Profile

MOMEN M ISMAIL MD
NPI 1609496165
General Practice in Brooklyn, NY

Active since April 24, 2020PECOS EnrolledAccepts Medicare Assignment
420 64TH ST, BROOKLYN, NY 11220(718) 630-1310 Get Directions Write a Review

NPPES record last updated: May 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 13, 2024, Apr 24, 2020 (2 updates tracked since 2020).

About Momen M Ismail Md NPPES

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

MOMEN M ISMAIL MD (NPI 1609496165) is an individual general practice provider in Brooklyn, New York, licensed in New York (326726) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1609496165
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameMOMEN M ISMAILCredential: MD
Location Address420 64TH STBrooklyn, NY 11220-4900
Mailing Address420 64th StBrooklyn, NY 11220-4900 · (718) 630-1310
Phone(718) 630-1310
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 24, 2020
Last NPPES UpdateMay 13, 20242 updates tracked since enumeration
NPPES CertifiedMay 13, 2024
✔ NPI 1609496165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in NY · 326726
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
420 64TH ST, Brooklyn, NY 11220
Open in Google Maps ↗

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

Momen M 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 ID1850833211
PECOS Enrollment IDI20240613000126
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

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.
39 services15 patients

Other Providers at the Same Location NPPES 4

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

JULISSA VASQUEZ LMSW
Social Worker
420 64TH ST, LOWER LEVEL
BROOKLYN, NY 11220
Kings County (718) 630-1310
MRS. HOLLY ANN ROUSSEAU OTR/L
Occupational Therapist (Pediatrics)
420 64TH ST, APARTMENT 8H
BROOKLYN, NY 11220
Kings County (917) 660-1909
MAHMOUD NABIL FATHY KHALAFALLA MD
Student in an Organized Health Care Education/Training Program
420 64TH ST
BROOKLYN, NY 11220
Kings County (718) 630-1310
CHERI ANN DICERBO LMSW
Social Worker
420 64TH ST, LOWER LEVEL
BROOKLYN, NY 11220
Kings County (718) 630-1310

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 Momen Ismail's NPI number?

The NPI number for Momen Ismail is 1609496165. It was assigned to this individual provider in the NPPES registry on April 24, 2020.

Where is Momen Ismail located?

Momen Ismail practices at 420 64th St, Brooklyn, NY 11220. The listed phone number is (718) 630-1310.

What is Momen Ismail's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Momen Ismail enrolled in Medicare?

Yes. Momen 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.

When was this NPI record last updated?

The NPPES record for Momen Ismail was last updated on May 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.