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DR. MEDHAT ISMAIL MD
NPI 1982665600
Internal Medicine - Pulmonary Disease in Wayne, NJ

Active since March 31, 2006PECOS EnrolledAccepts Medicare Assignment
246 HAMBURG TPKE, SUITE 208, WAYNE, NJ 07470(973) 790-3433 Get Directions Write a Review

NPPES record last updated: October 15, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Medhat Ismail Md NPPES

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

DR. MEDHAT ISMAIL MD (NPI 1982665600) is an individual pulmonary disease provider in Wayne, New Jersey, licensed in New Jersey (MA61414) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with St Joseph's University Medical Center Inc, and is a graduate of Other (1980).

NPPES Registry Identity

NPI1982665600
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. MEDHAT ISMAILCredential: MD
Location Address246 HAMBURG TPKE, SUITE 208Wayne, NJ 07470-2156
Mailing Address27 Almadera DrWayne, NJ 07470-2471 · (973) 790-3433
Phone(973) 790-3433
Sole ProprietorYes
Medical School CMSOtherGraduated 1980
Enumeration DateMarch 31, 2006
Last NPPES UpdateOctober 15, 2008
✔ NPI 1982665600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in NJ · MA61414
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
246 HAMBURG TPKE, Wayne, NJ 07470
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified800047NJ
Medicaid6738109NJ
Medicare UPING19642NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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. Medhat 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 ID1951345255
PECOS Enrollment IDI20050617000128
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
916 services145 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.
152 services54 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
146 services11 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
133 services107 patients

Hospital Affiliations CMS Care Compare

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

St Joseph's University Medical Center Inc

Acute Care Hospitals · Paterson, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number310019
Location703 Main StPaterson, NJ 07503 · Passaic County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07470 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

Referred Medical Equipment & Supplies CMS DME claims 12

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers11 claims11 services$33.23 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers15 claims15 services$72.95 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers11 claims27 services$28.06 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers11 claims11 services$45.39 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers13 claims13 services$14.77 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
4 suppliers13 claims13 services$10.63 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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. BARRY SCHAIR M.D.
Internal Medicine (Cardiovascular Disease)
246 HAMBURG TPKE, SUITE 201
WAYNE, NJ 07470
Passaic County (973) 942-1141
GARY J DRILLINGS MD
Specialist
246 HAMBURG TPKE, SUITE-301
WAYNE, NJ 07470
Passaic County (973) 689-6266
DR. SAMEER ANOR AZHAK M.D.
Internal Medicine (Cardiovascular Disease)
246 HAMBURG TPKE, SUITE 201
WAYNE, NJ 07470
Passaic County (973) 942-1141
NORTH JERSEY PHYSICAL THERAPY GROUP LLC
Clinic/Center (Physical Therapy)
246 HAMBURG TPKE, SUITE 303
WAYNE, NJ 07470
Passaic County (973) 720-1110
DR. MICHAEL P BIEHL M.D., F.A.C.C.
Internal Medicine (Clinical Cardiac Electrophysiology)
246 HAMBURG TPKE, SUITE 201
WAYNE, NJ 07470
Passaic County (973) 942-1141
DR. HARJINDER SINGH SAINI MD
Internal Medicine (Nephrology)
246 HAMBURG TPKE, SUITE#207
WAYNE, NJ 07470
Passaic County (973) 653-3366
DR. DONNA MARIE KONLIAN M.D., F.A.C.C.
Internal Medicine (Cardiovascular Disease)
246 HAMBURG TPKE, SUITE 201
WAYNE, NJ 07470
Passaic County (973) 942-1141
DR. CHNADRA B CHANDRAN MD
Internal Medicine (Nephrology)
246 HAMBURG TPKE
WAYNE, NJ 07470
Passaic County (973) 653-3366

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 Medhat Ismail's NPI number?

The NPI number for Medhat Ismail is 1982665600. It was assigned to this individual provider in the NPPES registry on March 31, 2006.

Where is Medhat Ismail located?

Medhat Ismail practices at 246 Hamburg Tpke Suite 208, Wayne, NJ 07470. The listed phone number is (973) 790-3433.

What is Medhat Ismail's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Medhat Ismail enrolled in Medicare?

Yes. Medhat Ismail is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Medhat Ismail accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Medhat Ismail as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Medhat Ismail affiliated with any hospitals?

According to CMS data, Medhat Ismail is affiliated with St Joseph's University Medical Center Inc.

When was this NPI record last updated?

The NPPES record for Medhat Ismail was last updated on October 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.