IMTIAZ ISMAIL (MD) – Interventional Cardiology Physician, NPI 1114369170
Interventional Cardiology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
464 INTERVENTIONAL CARDIOLOGY in IL
Provider Addresses for IMTIAZ ISMAIL (MD)
172 E SCHILLER ST
ELMHURST, IL 601262885
Phone: (331) 221-6377
Fax: (331) 221-2701
Type: Mailing
155 E BRUSH HILL RD
ELMHURST, IL 60126
Phone: (331) 221-8952
Fax: (331) 221-3782
Type: Location
113 AIRPORT RD STE 301
SULPHUR SPRINGS, TX 754822198
Phone: (903) 438-8330
Type: Location
155 E Brush Hill Rd
Elmhurst, IL 60126
Phone: (331) 221-8952
Fax: (331) 221-3782
Type: Location
1150 State Highway 248 Ste 200
Branson, MO 656164186
Phone: (417) 336-4112
Type: Location
100 Medical Dr
Hannibal, MO 634016877
Phone: (573) 221-5250
Fax: (573) 231-3758
Type: Location
100 MEDICAL DR
HANNIBAL, MO 634016877
Phone: (331) 221-6377
Fax: (331) 221-2701
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 133 Open Payments records for all available years, with a total value of $5,422.
Total Amount is formed as General ($5,422) + Research ($0) + Ownership ($0) = $5,422.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Abbott Laboratories ($3,485).
Total Amount
$5,422
General + Research + Ownership
Payments
133
Total payment records
General Amount
$5,422
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $3,485 |
| Novartis Pharmaceuticals Corporation | $469 |
| Medtronic, Inc. | $416 |
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | $324 |
| Shockwave Medical, Inc | $265 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-06-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170308000926 | I | Interventional Cardiology | IL | TBD |
| I20210715002954 | I | Interventional Cardiology | MO | TBD |
| I20250627000571 | I | Interventional Cardiology | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 1,810 | 17 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 656 | 554 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 648 | 632 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 524 | 431 | $0 |
| 93793 | Anticoagulant management of patient taking warfarin | 463 | 28 | $0 |
Insurance plans in this area (ZIP 60126)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| General Surgery | AZ | |
| Internal Medicine | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| - | TX | |
| E N D O C R I N O L O G Y | TX | |
| Nurse Practitioner | IL | |
| - | NC | |
| Physician Assistant | LA | |
| Hospitalist, Gastroenterology | TX |
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