Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Hicham Ismail, MD

Individual provider Diagnostic Radiology Physician · NPI 1376961342

Hicham Ismail, MD is a Diagnostic Radiology in Charlotte, North Carolina. Graduated from Wright State University Boonshoft School of Medicine in 2014, 12 years ago. Practices with Mecklenburg Radiology Associates PA, a 94-clinician group and accepts Medicare assignment. Licensed in North Carolina and Ohio.

Years since qualifying
12
Trained at
Wright State University Boonshoft School of Medicine
Licensed in
NC, OH
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3623 Latrobe Dr Ste 216
Charlotte, NC 28211
Phone: (704) 384-3646
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 2019-01950 (NC)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 35.128131 (OH)

Record details

NPI number1376961342
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 7, 2014
Last updated in NPPESOctober 1, 2020
Certification dateOctober 1, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolWRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Mecklenburg Radiology Associates Pa — 94 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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