ISRAA ISMAIL MD,PHD
NPI 1902693609
Student in an Organized Health Care Education/Training Program in Detroit, MI

Q: What is Israa Ismail's NPI number?

The NPI number for Israa Ismail is 1902693609. It was assigned to this individual provider in the NPPES registry on April 24, 2025.

Q: What is Israa Ismail's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Israa Ismail was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.

Active since April 24, 2025PECOS Enrolled

4201 SAINT ANTOINE ST # 9C, DETROIT, MI 48201(313) 745-5746 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Israa Ismail Md,phd NPPES

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

ISRAA ISMAIL MD,PHD (NPI 1902693609) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902693609

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameISRAA ISMAILCredential: MD,PHD

Location Address4201 SAINT ANTOINE ST # 9CDetroit, MI 48201-2153

Mailing Address4201 Saint Antoine St # 9cDetroit, MI 48201-2153 · (313) 745-5746

Phone(313) 745-5746

Sole ProprietorNo

Enumeration DateApril 24, 2025

NPPES CertifiedApril 24, 2025

✔ NPI 1902693609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4201 SAINT ANTOINE ST # 9C, Detroit, MI 48201

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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)

Israa Ismail Md,phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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. STEPHANIE NICOLE STEVENS MD

Anesthesiology