DR. SIRAJUDDIN ISMAIL MD
NPI 1902822901
Psychiatry & Neurology - Psychiatry in Thomasville, NC

Q: What is Sirajuddin Ismail's NPI number?

The NPI number for Sirajuddin Ismail is 1902822901. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Q: What is Sirajuddin Ismail's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sirajuddin Ismail was last updated on October 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since July 14, 2006PECOS EnrolledAccepts Medicare Assignment

309 PINEYWOOD RD, THOMASVILLE, NC 27360(336) 474-8921(336) 474-8923 Get Directions Write a Review

NPPES record last updated: October 26, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 26, 2020, Apr 9, 2018 (2 updates tracked since 2018).

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About Dr. Sirajuddin Ismail Md NPPES

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

DR. SIRAJUDDIN ISMAIL MD (NPI 1902822901) is an individual psychiatry provider in Thomasville, North Carolina, licensed in North Carolina (2007-01248) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Novant Health Thomasville Medical Center, and maintains a secondary practice location in Toms River.

NPPES Registry Identity

NPI1902822901

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDR. SIRAJUDDIN ISMAILCredential: MD

Location Address309 PINEYWOOD RDThomasville, NC 27360-3438

Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (336) 474-8921 · Fax (336) 474-8923

Phone(336) 474-8921

Fax(336) 474-8923

Sole ProprietorNo

Medical School CMSOtherGraduated 1983

Enumeration DateJuly 14, 2006

Last NPPES UpdateOctober 26, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 6, 2020

✔ NPI 1902822901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in NC · 2007-01248

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.

Also ListedPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyTaxonomy 2084N0402X · License 25MA07585600 (NJ)

309 PINEYWOOD RD, Thomasville, NC 27360

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Secondary Practice Location 1

Location 11691 Highway 9, CN 2025Toms River, NJ 08754 · Phone (732) 914-3843 · Fax (732) 914-3854

Other Identifiers 1

Medicaid0005266NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Oscar Health Plan of North Carolina, Inc.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sirajuddin 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 ID2163329624

PECOS Enrollment IDI20170809002964

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.

Medicare Billing Reassignments

Medicare enrollment records show Sirajuddin Ismail reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Novant Health Thomasville Medical Center, LLC

0.4 mi

Psychiatry

203 OLD LEXINGTON RD STE 106
Thomasville, NC 27360

Reassigned Medicare billing, North Carolina enrollment
719 clinicians in this Medicare group

NPI 1922897008 (336) 474-8921

Monarch

13 mi

Community/Behavioral Health

820 GRIMES BLVD
Lexington, NC 27292

Reassigned Medicare billing, North Carolina enrollment
260 clinicians in this Medicare group

NPI 1518008861 (336) 238-5504

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

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 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.

70 services35 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

45 services27 patients

Hospital Affiliations CMS Care Compare

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

Novant Health Thomasville Medical Center

Acute Care Hospitals · Thomasville, NC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340085

Location207 Old Lexington Rd Box 789Thomasville, NC 27360 · Davidson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27360 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

$165.09 typical visit price

range $54.12 – $165.09

Typical copayment $41.27 (range $13.53 – $41.27)

Most-billed visit code 99205

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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.

Reported Quality Measures

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

100%21 patients5/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

95%38 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 17

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

FORSYTH MEMORIAL HOSPITAL, INC

Psychiatry & Neurology (Psychiatry)