Mona Ismail, M.D.
NPI 1053355834 · Child & Adolescent Psychiatry Physician · Wilmington, NC
Enrolled with Medicare as Practitioner - Psychiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mona Ismail, M.D. is a Child & Adolescent Psychiatry Physician provider in Wilmington, NC (NPI 1053355834).
Provider details
- NPI number
- 1053355834
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2020-04074 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
4 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
127 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 53 | $88 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 45 | $125 |
| Psychiatric Diagnostic Evaluation With Medical Services90792 | 29 | $193 |
Typical Medicare-allowed amounts for these services range $88–$193 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 29 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Trazodone Hcl | 75 | 21 |
| Duloxetine Hcl | 53 | 19 |
| Alprazolam | 46 | — |
| Quetiapine Fumarate | 43 | — |
| Venlafaxine Hclbrand: Venlafaxine Hcl Er | 43 | — |
| Buspirone Hcl | 37 | 14 |
| Lamotrigine | 34 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$583 across 34 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (3)
- 15000 Weston Pkwy Ofc 171Cary, NC 27513-2118Phone: (833) 351-8255
- 53 Frontage Rd Fl 1Hampton, NJ 08827-4031Phone: (833) 351-8255
- 109 W 27th St Ste 55New York, NY 10001-0265Phone: (833) 351-8255
Registry dates
- Enumerated
- 2006-06-15
- Last updated
- 2025-05-01
- Certified
- 2025-05-01
Frequently asked questions
- What is Mona Ismail's NPI number?
- Mona Ismail's National Provider Identifier (NPI) is 1053355834, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mona Ismail's specialty?
- Mona Ismail is listed in the NPPES registry with a primary specialty of Child & Adolescent Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Mona Ismail located?
- Mona Ismail's practice location on file with NPPES is 559 Musket Bay Dr, Wilmington, NC 28412-5421.
- What is Mona Ismail's phone number?
- The practice phone number listed in the NPPES registry for Mona Ismail is (917) 455-8691.
- Does Mona Ismail accept Medicare?
- Mona Ismail is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mona Ismail's NPI active?
- Yes — Mona Ismail's NPI (1053355834) is active in the NPPES registry as of the last update on 2025-05-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.