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HABIB A. ISMAIL, M.D., INC.
NPI 1720366677
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in San Dimas, CA

Active since July 26, 2011
1330 W COVINA BLVD, SUITE 103, SAN DIMAS, CA 91773(626) 914-2831(909) 599-6217 Get Directions Write a Review

NPPES record last updated: July 26, 2011. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Habib A. Ismail, M.d., Inc. NPPES

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

HABIB A. ISMAIL, M.D., INC. (NPI 1720366677) is a healthcare organization registered as a neurology with special qualifications in child neurology in San Dimas, California and active in the NPI registry since July 2011. The organization lists Habib A. Ismail, Owner, as its authorized official.

NPPES Registry Identity

NPI1720366677
Entity TypeOrganization
Primary Taxonomy2084N0402X
Legal Business NameHABIB A. ISMAIL, M.D., INC.
Location Address1330 W COVINA BLVD, SUITE 103San Dimas, CA 91773-3200
Mailing Address1330 W Covina Blvd, Suite 103San Dimas, CA 91773-3200 · (626) 914-2831 · Fax (909) 599-6217
Phone(626) 914-2831
Fax(909) 599-6217
Organization SubpartNo
Authorized OfficialHabib A. IsmailOwner · (626) 914-2831
Enumeration DateJuly 26, 2011
✔ NPI 1720366677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
License✔ Licensed in CA · A43523
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
1330 W COVINA BLVD, San Dimas, CA 91773
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Habib A. Ismail, M.d., Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20111118000498Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Habib A. Ismail, M.D., Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Habib Ismail, MD
Pediatric Medicine
NPI 1205893245
1330 W COVINA BLVD STE 103
San Dimas, CA 91773
(909) 592-2145
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Habib A. Ismail, M.D., Inc.'s NPI number?

The NPI number for Habib A. Ismail, M.D., Inc. is 1720366677. It was assigned to this organization in the NPPES registry on July 26, 2011.

Where is Habib A. Ismail, M.D., Inc. located?

Habib A. Ismail, M.D., Inc. is located at 1330 W Covina Blvd Suite 103, San Dimas, CA 91773. The listed phone number is (626) 914-2831.

What is Habib A. Ismail, M.D., Inc.'s specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Is Habib A. Ismail, M.D., Inc. enrolled in Medicare?

Yes. Habib A. Ismail, M.D., Inc. is registered in the Medicare PECOS enrollment system.

When is Habib A. Ismail, M.D., Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Habib A. Ismail, M.D., Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pediatric Medicine) reassigns their Medicare billing to Habib A. Ismail, M.D., Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Habib A. Ismail, M.D., Inc. was last updated on July 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.