DR. MOHAMMED ISMAIL (MD) – Addiction Medicine (Internal Medicine) Physician, NPI 1477588747
Addiction Medicine (Internal Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
18,056 INTERNAL MEDICINE in NY
Provider Addresses for DR. MOHAMMED ISMAIL (MD)
46 Third St
Waterford, NY 12188
Phone: (518) 237-0641
Fax: (518) 235-6401
Type: Location
46 THIRD ST
WATERFORD, NY 12188
Phone: (518) 237-0641
Fax: (518) 235-6401
Type: Mailing
Saint Mary's Hospital, 1300, Massachusetts Avenue, Frear Park, City of Troy, Rensselaer County, New York, 12182, United States
TROY, NY 121801628
Phone: (518) 268-5542
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 41 Open Payments records for all available years, with a total value of $1,353.
Total Amount is formed as General ($1,353) + Research ($0) + Ownership ($0) = $1,353.
Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Braeburn Inc. ($490).
Total Amount
$1,353
General + Research + Ownership
Payments
41
Total payment records
General Amount
$1,353
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Braeburn Inc. | $490 |
| Boston Scientific Corporation | $284 |
| AstraZeneca Pharmaceuticals LP | $253 |
| Gilead Sciences, Inc. | $123 |
| Teva Pharmaceuticals USA, Inc. | $123 |
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: 2010-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100615000343 | I | Internal Medicine | NY | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 147 | 29 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 79 | 30 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 36 | 17 | $0 |
Insurance plans in this area (ZIP 12188)
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