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Active NPI 1962135269 Individual Practitioner Female Practitioner

Ebteehal Adnan Ismail

Physician Assistant • Longmeadow, MA

Professional Overview & Biography Verified Profile Summary

Ebteehal Ismail is a registered healthcare professional specializing in Physician Assistant in Longmeadow, MA. Practice services are available at 588 LONGMEADOW ST under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

588 Longmeadow St

Longmeadow, MA 011062292

Telephone 4135651000

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Longmeadow, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 3.2 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
31 Specialists

Practicing in Longmeadow, MA (4746 Statewide)

Telehealth Adoption Rate
3.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
88.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
35 35 $1231.09 $136.53
99284 Emergency department visit with moderate level of medical decision making
12 12 $839.00 $94.21

Medical Specialties & State Licenses

CMS Verified: 2024-09-10
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IA 126735

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Maia Boni

Student in an Organized Health Care Education/Training Program

NPI 1003549312
Nadya Fitsum

Student in an Organized Health Care Education/Training Program

NPI 1013758002
Kruti Patel

Student in an Organized Health Care Education/Training Program

NPI 1023859014
Sheida Karamnejad

Student in an Organized Health Care Education/Training Program

NPI 1033002456
Katherine Desjardins

Student in an Organized Health Care Education/Training Program

NPI 1043051139
Sara Brindzak

Student in an Organized Health Care Education/Training Program

NPI 1043103468

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 05, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location July 05, 2022

Registered at 588 LONGMEADOW ST, LONGMEADOW, MA 011062292 (Tel: 4135651000)

📍
Updated Business Mailing Address July 05, 2022

Registered at 588 LONGMEADOW ST, LONGMEADOW, MA 011062292

👤
Provider Name / Credentials Updated July 05, 2022

Recorded as EBTEEHAL ISMAIL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 05, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration July 05, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962135269
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 05, 2022
Last Update: September 10, 2024
Sole Proprietor: No

Mailing Address

588 Longmeadow St

Longmeadow, MA 011062292

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.