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MOHAMED MOSTAFA ISMAEL M.D, M.P.H
NPI 1639140353
Psychiatry & Neurology - Psychiatry in Pittsburgh, PA

Active since January 31, 2006PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
3811 OHARA ST, PITTSBURGH, PA 15213(412) 344-4010 Get Directions Write a Review

NPPES record last updated: March 11, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mohamed Mostafa Ismael M.d, M.p.h NPPES

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

MOHAMED MOSTAFA ISMAEL M.D, M.P.H (NPI 1639140353) is an individual psychiatry provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD042775L) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Upmc Presbyterian Shadyside, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1639140353
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameMOHAMED MOSTAFA ISMAELCredential: M.D, M.P.H
Location Address3811 OHARA STPittsburgh, PA 15213-2561
Mailing Address1554 Cook School RdPittsburgh, PA 15241-2604 · (412) 715-4627
Phone(412) 344-4010
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateJanuary 31, 2006
Last NPPES UpdateMarch 11, 2016
✔ NPI 1639140353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in PA · MD042775L
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
3811 OHARA ST, Pittsburgh, PA 15213
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Other Identifiers 3

Medicare ID-Type UnspecifiedIS646815
Medicaid01247497PA
Medicare UPINE69294PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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

Mohamed Mostafa Ismael M.d, M.p.h 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 ID2062425457
PECOS Enrollment IDI20060802000120
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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
36 services18 patients

Hospital Affiliations CMS Care Compare

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

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15213 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
$166.87 typical visit price
range $54.64 – $166.87
Typical copayment $41.71 (range $13.66 – $41.71)
Most-billed visit code 99205
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

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. TIFFANY JEAN REID PHARMD
Pharmacist
3811 OHARA ST
PITTSBURGH, PA 15213
Allegheny County (412) 246-6100
MS. KATHERINE MARIE KNORR MSW
Social Worker (Clinical)
3811 OHARA ST
PITTSBURGH, PA 15213
Allegheny County (412) 235-5445
KIMBERLY CLINEBELL
Psychiatry & Neurology (Psychiatry)
3811 OHARA ST
PITTSBURGH, PA 15213
Allegheny County (412) 624-2100
DR. HAROLD ALAN PINCUS MD
Specialist
3811 OHARA ST, SUITE 1135-E
PITTSBURGH, PA 15213
Allegheny County (412) 624-1000
EMIL IVANOV MD
Psychiatry & Neurology (Psychiatry)
3811 OHARA ST
PITTSBURGH, PA 15213
Allegheny County (412) 246-6801
DEBRA E. BODELL
Counselor (Mental Health)
3811 OHARA ST
PITTSBURGH, PA 15213
Allegheny County (412) 246-6262
SEAN BERNARD COLGAN
Counselor (Mental Health)
3811 OHARA ST
PITTSBURGH, PA 15213
Allegheny County (412) 624-1000
UTOPIA ANDERSON
Counselor (Addiction (Substance Use Disorder))
3811 OHARA ST
PITTSBURGH, PA 15213
Allegheny County (412) 864-5300

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 Mohamed Ismael's NPI number?

The NPI number for Mohamed Ismael is 1639140353. It was assigned to this individual provider in the NPPES registry on January 31, 2006.

Where is Mohamed Ismael located?

Mohamed Ismael practices at 3811 Ohara St, Pittsburgh, PA 15213. The listed phone number is (412) 344-4010.

What is Mohamed Ismael's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Mohamed Ismael enrolled in Medicare?

Yes. Mohamed 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.

What insurance does Mohamed Ismael accept?

Health plans from Providence Health Plan list Mohamed Ismael 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 Mohamed Ismael affiliated with any hospitals?

According to CMS data, Mohamed Ismael is affiliated with Upmc Presbyterian Shadyside.

When was this NPI record last updated?

The NPPES record for Mohamed Ismael was last updated on March 11, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.