DR. SIRAJUDDIN ISMAIL (MD) – Psychiatry Physician, NPI 1902822901

DR. SIRAJUDDIN ISMAIL (MD) is a healthcare provider. based in Toms river, New Jersey. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. 25MA07585600 (NJ). The NPI Number for DR. SIRAJUDDIN ISMAIL (MD) is 1902822901

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
DR. SIRAJUDDIN ISMAIL (MD)
NPI
1902822901
Phone
(732) 914-3843
Address
1691 Highway 9
Enumeration Date
14 July 2006
Last Update Date
26 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3368961477
Graduation Year
1983 (43 years ago)
PAC ID
2163329624
Group Practice PAC ID
5890605224
Professional Enrollment ID
I20170809002964
Address ID
NC271031355WI1551XDRXX402
Telehealth
Yes

Contacts

Secure Messaging
sismail511178@direct.novanthealth.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

1,050 PSYCHIATRY in NJ

Provider Addresses for DR. SIRAJUDDIN ISMAIL (MD)

  • 1691 Highway 9

    CN 2025

    Toms River, NJ 08754

    Phone: (732) 914-3843

    Fax: (732) 914-3854

    Type: Location

  • PO BOX 60447

    CHARLOTTE, NC 282600447

    Phone: (336) 474-8921

    Fax: (336) 474-8923

    Type: Mailing

  • 309, Pineywood Road, Thomasville, Davidson County, North Carolina, 27360, United States

    THOMASVILLE, NC 273603438

    Phone: (336) 474-8921

    Fax: (336) 474-8923

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $1,419.

Total Amount is formed as General ($1,419) + Research ($0) + Ownership ($0) = $1,419.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($305).

Total Amount

$1,419

General + Research + Ownership

Payments

15

Total payment records

General Amount

$1,419

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

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: 2017-08-09

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
I20170809002964IPsychiatryNCTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes8641$0
90833Psychotherapy with evaluation and management visit, 30 minutes3920$0
90792Psychiatric diagnostic evaluation with medical services1717$0
View full utilization report →

Insurance plans in this area (ZIP 08754)

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Provider's Procedures

DR. SIRAJUDDIN ISMAIL (MD) performs procedures in PSYCHIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHIATRYNC90792Psychiatric diagnostic evaluation with medical services142129

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: 5890605224View full group profile
NameSpecialtyState
Medical Oncology, Hematology/OncologyNC
Gynecological Oncology, Obstetrics/GynecologyNC
Nurse PractitionerNC
Nurse PractitionerNC
N E U R O L O G YNC
Physician AssistantNC
Certified Registered Nurse Anesthetist (Crna)NC
Nurse PractitionerNC
Nurse PractitionerGA
General SurgeryMO

Reviews

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Frequently asked questions

Can I cross-check DR. SIRAJUDDIN ISMAIL (MD) using NPI 1902822901?
NPI 1902822901 belongs to DR. SIRAJUDDIN ISMAIL (MD); compare other details if you need extra assurance.
Is DR. SIRAJUDDIN ISMAIL (MD) shown as active in public data?
Registry records indicate DR. SIRAJUDDIN ISMAIL (MD) maintains an active NPI.
What clinical focus is listed for DR. SIRAJUDDIN ISMAIL (MD)?
At a glance, DR. SIRAJUDDIN ISMAIL (MD) is tied to Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. SIRAJUDDIN ISMAIL (MD)?
Directory geography for DR. SIRAJUDDIN ISMAIL (MD) centers on Toms River, New Jersey.
When was this NPI issued?
Enumeration for DR. SIRAJUDDIN ISMAIL (MD) is noted as July 14, 2006 where the registry provides it.

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