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ISMAEL UMALI N.P.
NPI 1720334881
Nurse Practitioner - Family in Bronx, NY

Active since July 26, 2012PECOS Enrolled
100/100
CMS Quality Rating
3444 KOSSUTH AVENUE, BRONX, NY 10467(718) 920-5905 Get Directions Write a Review

NPPES record last updated: July 26, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ismael Umali N.p. NPPES

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

ISMAEL UMALI N.P. (NPI 1720334881) is an individual family provider in Bronx, New York, licensed in New York (F337375) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1720334881
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameISMAEL UMALICredential: N.P.
Location Address3444 KOSSUTH AVENUEBronx, NY 10467
Mailing Address111 East 210th StreetBronx, NY 10467 · (718) 920-5905
Phone(718) 920-5905
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 26, 2012
✔ NPI 1720334881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F337375
3444 KOSSUTH AVENUE, Bronx, NY 10467
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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 (PECOS)

Ismael Umali N.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9931359700
PECOS Enrollment IDI20121101000545
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 2

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
69 services55 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.
14 services12 patients

Hospital Affiliations CMS Care Compare

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

Montefiore Medical Center

Acute Care Hospitals · Bronx, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330059
Location111 East 210th StreetBronx, NY 10467 · Bronx County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10467 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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

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.

MMC FAMILY CARE CENTER
Clinic/Center (Multi-Specialty)
3444 KOSSUTH AVENUE, MMC FAMILY CARE CENTER
BRONX, NY 10467
Bronx County (914) 377-4722
DR. SANDRA K OZA MD
Internal Medicine
3444 KOSSUTH AVENUE, MONTEFIORE FCC - INTERNAL MEDICINE
BRONX, NY 10467
Bronx County (718) 920-2273
MS. ROSEMARY FRAME NP
Nurse Practitioner (Family)
3444 KOSSUTH AVENUE
BRONX, NY 10467
Bronx County (718) 920-2273
SANDRA VELEZ LCSW-R
Social Worker (Clinical)
3444 KOSSUTH AVENUE
BRONX, NY 10467
Bronx County (718) 920-5975

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 Ismael Umali's NPI number?

The NPI number for Ismael Umali is 1720334881. It was assigned to this individual provider in the NPPES registry on July 26, 2012.

Where is Ismael Umali located?

Ismael Umali practices at 3444 Kossuth Avenue, Bronx, NY 10467. The listed phone number is (718) 920-5905.

What is Ismael Umali's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Ismael Umali enrolled in Medicare?

Yes. Ismael Umali is registered in the Medicare PECOS enrollment system.

Is Ismael Umali affiliated with any hospitals?

According to CMS data, Ismael Umali is affiliated with Montefiore Medical Center.

When was this NPI record last updated?

The NPPES record for Ismael Umali was last updated on July 26, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.