SAMIR GAMAL ISHAK (MD) – Psychiatry Physician, NPI 1548257488

SAMIR GAMAL ISHAK (MD) is a healthcare provider. based in Portland, Indiana. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. 01050654A (IN). The NPI Number for SAMIR GAMAL ISHAK (MD) is 1548257488

Main info

Male
Sole Proprietor
43 Years Of Experience
Accepts Medicare Assignment
Name
SAMIR GAMAL ISHAK (MD)
NPI
1548257488
Phone
(260) 418-7036
Address
500 W VOTAW ST
Enumeration Date
5 October 2005
Last Update Date
3 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7657434400
Graduation Year
1983 (43 years ago)
PAC ID
4880655331
Group Practice PAC ID
8921490681
Professional Enrollment ID
I20041019001023
Address ID
IN479050785LA833XXBLVD400

Contacts

Secure Messaging
SISHAK1@direct.iuhealth.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

529 PSYCHIATRY in IN

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Provider Addresses for SAMIR GAMAL ISHAK (MD)

  • Indiana University Health Jay Hospital, 500, West Votaw Street, Portland, Jay County, Indiana, 47371, United States

    PORTLAND, IN 473711322

    Phone: (260) 418-7036

    Type: Mailing

  • 250 N SHADELAND AVE

    INDIANAPOLIS, IN 462194959

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 106 Open Payments records for all available years, with a total value of $2,178.

Total Amount is formed as General ($2,178) + Research ($0) + Ownership ($0) = $2,178.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Alkermes, Inc. ($530).

Total Amount

$2,178

General + Research + Ownership

Payments

106

Total payment records

General Amount

$2,178

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

View all Open Payments →|Open Payments Risk Radar →

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: 2004-10-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041019001023IPsychiatryINTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes23863$0
99239Hospital discharge day management, more than 30 minutes5245$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes4136$0
View full utilization report →

Insurance plans in this area (ZIP 47371)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921490681View full group profile
NameSpecialtyState
Nurse PractitionerIN
Nurse PractitionerIN
Nurse PractitionerIN
P S Y C H I A T R YIN
Nurse PractitionerIN
Nurse PractitionerTX
Nurse PractitionerIN
Neurology, PsychiatryIN
Nurse PractitionerIN
Nurse PractitionerIN

Reviews

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Frequently asked questions

What is the registry number for SAMIR GAMAL ISHAK (MD)?
The registry entry for SAMIR GAMAL ISHAK (MD) shows NPI 1548257488.
Is SAMIR GAMAL ISHAK (MD) currently accepting referrals based on NPI status?
Registry metadata lists SAMIR GAMAL ISHAK (MD) as active.
What type of care does SAMIR GAMAL ISHAK (MD) provide?
SAMIR GAMAL ISHAK (MD)'s profile centers on Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to SAMIR GAMAL ISHAK (MD)?
SAMIR GAMAL ISHAK (MD) shows a connection to Portland, Indiana in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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