ABDALLA ISMAIL (MD) – Nephrology Physician, NPI 1962964031

ABDALLA ISMAIL (MD) is a healthcare provider. based in Canton, Ohio. specializing in INTERNAL MEDICINE, NEPHROLOGY. They hold the professional credentials MD. They hold a License No. 35.144895 (OH). The NPI Number for ABDALLA ISMAIL (MD) is 1962964031

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
ABDALLA ISMAIL (MD)
NPI
1962964031
Phone
(330) 363-6223
Address
2600 SIXTH ST SW
Enumeration Date
5 April 2019
Last Update Date
13 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3306499400
Graduation Year
2014 (12 years ago)
PAC ID
3375940810
Group Practice PAC ID
1951206085
Professional Enrollment ID
I20260304002040
Address ID
OH447086220CA4650XNWXX604
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:7State licenses:1Digital endpointsOther names

7,199 INTERNAL MEDICINE in OH

Provider Addresses for ABDALLA ISMAIL (MD)

  • 2600 SIXTH ST SW

    CANTON, OH 447101799

    Phone: (330) 363-6223

    Fax: (330) 363-3877

    Type: Mailing

  • 4650 HILLS AND DALES RD NW

    CANTON, OH 447086220

    Phone: (330) 649-9400

    Fax: (330) 649-9901

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $304.

Total Amount is formed as General ($304) + Research ($0) + Ownership ($0) = $304.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: NxStage Medical, Inc. ($134).

Total Amount

$304

General + Research + Ownership

Payments

14

Total payment records

General Amount

$304

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

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: 2026-03-04

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
I20260304002040IInternal MedicineOHTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44710)

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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: 1951206085View full group profile
NameSpecialtyState
N E P H R O L O G YOH
-OH
Nephrology, Internal MedicineOH
-OH
N E P H R O L O G YOH
Internal Medicine, NephrologyOH
N E P H R O L O G YOH
Nephrology, Internal MedicineOH
Internal MedicineOH
N E P H R O L O G YOH

Reviews

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Frequently asked questions

What is ABDALLA ISMAIL (MD)'s NPI number?
ABDALLA ISMAIL (MD)'s NPI is 1962964031 — the number used across U.S. healthcare to identify this provider.
Is ABDALLA ISMAIL (MD) still an active registrant?
ABDALLA ISMAIL (MD) carries an active NPI according to the public dataset.
What kind of doctor is ABDALLA ISMAIL (MD)?
ABDALLA ISMAIL (MD) is associated with Nephrology Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for ABDALLA ISMAIL (MD)?
Travel planning: use Canton, Ohio as the reference point for ABDALLA ISMAIL (MD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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