Medhat Ismail, MD
NPI 1982665600 · Pulmonary Disease Physician · Wayne, NJ
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Medhat Ismail, MD is a Pulmonary Disease Physician provider in Wayne, NJ (NPI 1982665600).
Provider details
- NPI number
- 1982665600
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- MA61414 (NJ)
Specialties & taxonomies
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
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,347 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 916 | $83 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 152 | $140 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 146 | $125 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 133 | $138 |
Typical Medicare-allowed amounts for these services range $83–$140 (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 · 37 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 222 | 58 |
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 189 | 47 |
| Budesonide/Glycopyr/Formoterolbrand: Breztri Aerosphere | 95 | 19 |
| Fluticasone Propionate | 73 | 25 |
| Montelukast Sodium | 69 | 13 |
| Fluticasone/Vilanterolbrand: Breo Ellipta | 48 | 14 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$440 across 31 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
Registry dates
- Enumerated
- 2006-03-31
- Last updated
- 2008-10-15
Frequently asked questions
- What is Medhat Ismail's NPI number?
- Medhat Ismail's National Provider Identifier (NPI) is 1982665600, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Medhat Ismail's specialty?
- Medhat Ismail is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Medhat Ismail located?
- Medhat Ismail's practice location on file with NPPES is 246 Hamburg Tpke, Wayne, NJ 07470-2156.
- What is Medhat Ismail's phone number?
- The practice phone number listed in the NPPES registry for Medhat Ismail is (973) 790-3433.
- Does Medhat Ismail accept Medicare?
- Medhat Ismail is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Medhat Ismail's NPI active?
- Yes — Medhat Ismail's NPI (1982665600) is active in the NPPES registry as of the last update on 2008-10-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.