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DR. MOHAMED HANI ISMAIL MD
NPI 1700809472
Internal Medicine in Victorville, CA

Active since July 25, 2006PECOS EnrolledAccepts Medicare Assignment
12138 INDUSTRIAL BLVD, SUITE 120, VICTORVILLE, CA 92395(760) 951-2599(760) 951-3091 Get Directions Write a Review

NPPES record last updated: November 22, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mohamed Hani Ismail Md NPPES

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

DR. MOHAMED HANI ISMAIL MD (NPI 1700809472) is an individual internal medicine provider in Victorville, California, licensed in California (A87963) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1700809472
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MOHAMED HANI ISMAILCredential: MD
Location Address12138 INDUSTRIAL BLVD, SUITE 120Victorville, CA 92395-4757
Mailing Address11370 Anderson St, Suite 3615Loma Linda, CA 92354-3450 · (909) 558-2481 · Fax (909) 558-2608
Phone(760) 951-2599
Fax(760) 951-3091
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJuly 25, 2006
Last NPPES UpdateNovember 22, 2021
✔ NPI 1700809472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A87963
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.
12138 INDUSTRIAL BLVD, Victorville, CA 92395
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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

Dr. Mohamed Hani 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 ID1557423548
PECOS Enrollment IDI20081230000144
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92395 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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 5

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

KIMBERLY PUKAL
Registered Nurse
12138 INDUSTRIAL BLVD, #120
VICTORVILLE, CA 92395
San Bernardino County (760) 951-2599
MS. SUSAN LYNN HOLLEY-WASHER RN
Registered Nurse (Ambulatory Care)
12138 INDUSTRIAL BLVD, SUITE # 120
VICTORVILLE, CA 92395
San Bernardino County (760) 951-2599
DIANA CETINA-GARCIA
Social Worker (Clinical)
12138 INDUSTRIAL BLVD
VICTORVILLE, CA 92395
San Bernardino County (760) 951-2599
DR. TRANG THUY LAM MD
Internal Medicine
12138 INDUSTRIAL BLVD, SUITE 120
VICTORVILLE, CA 92395
San Bernardino County (760) 951-2599
SHEILA CHERIAN MD PC
Internal Medicine
12138 INDUSTRIAL BLVD, SUITE 250
VICTORVILLE, CA 92395
San Bernardino County (760) 684-0145

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 Ismail's NPI number?

The NPI number for Mohamed Ismail is 1700809472. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Mohamed Ismail located?

Mohamed Ismail practices at 12138 Industrial Blvd Suite 120, Victorville, CA 92395. The listed phone number is (760) 951-2599.

What is Mohamed Ismail's specialty?

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

Is Mohamed Ismail enrolled in Medicare?

Yes. Mohamed 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 Mohamed Ismail was last updated on November 22, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.