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

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: July 19, 2026.

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

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
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

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

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. 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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.

Internal Medicine
309 PINEYWOOD RD
THOMASVILLE, NC 27360
Social Worker (Clinical)
309 PINEYWOOD RD
THOMASVILLE, NC 27360
Social Worker (Clinical)
309 PINEYWOOD RD
THOMASVILLE, NC 27360
Psychiatry & Neurology (Psychiatry)
309 PINEYWOOD RD
THOMASVILLE, NC 27360
Psychiatry & Neurology (Psychiatry)
309 PINEYWOOD RD
THOMASVILLE, NC 27360
Nurse Practitioner (Family)
309 PINEYWOOD RD
THOMASVILLE, NC 27360
Nurse Practitioner
309 PINEYWOOD RD
THOMASVILLE, NC 27360
Social Worker (Clinical)
309 PINEYWOOD RD
THOMASVILLE, NC 27360

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902822901, enumerated as an "individual" on July 14, 2006.

The provider is located at 309 PINEYWOOD RD THOMASVILLE, NC 27360 and the phone number is (336) 474-8921.

Psychiatry & Neurology with taxonomy code 2084P0800X and a focus in Psychiatry.

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC, Oscar Health. Please consult your insurance carrier or call the provider to verify.

Sirajuddin Ismail is affiliated with: NOVANT HEALTH THOMASVILLE MEDICAL CENTER.