AHMAD TARIQ ISMAIL, MD

NPI 1073680245, individual, Bonifay, FL, Family Medicine

Evidence tier

documented action, then payment

Listed on the Medicare revocation list since November 5, 2021.
Medicaid still paid claims in 3 later months, $1,319 in total.

score 93 of 100, rank 382, $1K at stake

Public list actions

Medicare revocation effective November 5, 2021, barred from re-enrolling until November 5, 2031

424.535(a)(9) failure to report and 424.535(a)(3) felonies, Practitioner - Family Practice, FL

Medicare revocation effective November 5, 2021, barred from re-enrolling until November 5, 2031

424.535(a)(9) failure to report and 424.535(a)(3) felonies, Part A Provider - Rural Health Clinic, FL

Paid after the action

Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.

list	identity check	action date	window closed	months paid after	first	last	paid after	12 months before
Medicare revocation list 424.535(a)(9) failure to report and 424.535(a)(3) felonies	Exact NPI, name verified	Nov 5, 2021	Nov 5, 2031	3	Dec 2021	Dec 2022	$1K	$38K

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	AHMAD TARIQ ISMAIL, MD
Type	Individual, sole proprietor
Status	Active
NPI issued	November 30, 2006, last updated January 14, 2014
Practice location	110 EAST BYRD AVE, Bonifay, FL 32425, 850-547-4799
Specialties	Family Medicine (207Q00000X, primary, license ME44907 FL)

Procedures billed

The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.

Medicaid, largest codes

code	what it is	paid	share	per patient-month	typical	rank among providers
99310	Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	$28K	49%	$32	$30 (top 5% from $134)	53rd percentile
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	$20K	34%	$3.74	$60 (top 5% from $133)	5th percentile
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	$9K	15%	$9.08	$44 (top 5% from $110)	10th percentile
99306	Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more	$611	1%	$34	$37 (top 5% from $100)	too few months to rank
85027	Complete blood cell count (red cells, white blood cell, platelets), automated test	$114	0%	$2.99	$4.26 (top 5% from $14)	too few months to rank
80053	Blood test, comprehensive group of blood chemicals	$105	0%	$4.20	$8.38 (top 5% from $44)	too few months to rank
84443	Blood test, thyroid stimulating hormone (tsh)	$93	0%	$6.61	$11 (top 5% from $28)	too few months to rank
80061	Blood test, lipids (cholesterol and triglycerides)	$67	0%	$2.67	$9.74 (top 5% from $20)	too few months to rank

In this area

399 providers in FL carry an indicator in the public record, with $390.9M at stake between them. The most common is part of a provider network, on 255 of them, followed by more hours than a day holds on 103. 28 are tier 1: documented action, then payment.

tier	provider	at stake	why
1	LEE FERGUSON Coral Springs, FL, ranked 39	$49K	Listed on the Medicare revocation list since September 30, 2020. Medicaid still paid claims in 2 later months, $48,704 in total. and 1 more
1	JEREMY INGRAM Fort Myers, FL, ranked 114	$183K	Listed on the KY Medicaid exclusion list since February 15, 2023. Medicaid still paid claims in 20 later months, $182,792 in total.
1	INFINITY MEDICAL EQUIPMENT GROUP LLC West Palm Beach, FL, ranked 115	$178K	Listed on the Medicare revocation list since October 14, 2020. Medicaid still paid claims in 4 later months, $178,323 in total.
1	BAPTIST PHYSICIAN ASSOCIATES LLC Navarre, FL, ranked 148	$100K	Listed on the Medicare revocation list since August 24, 2021. Medicaid still paid claims in 33 later months, $99,706 in total.
1	ROXANNE EDWARDS New Smyrna Beach, FL, ranked 157	$82K	Listed on the Medicare revocation list since September 30, 2020. Medicaid still paid claims in 23 later months, $81,752 in total.
1	GOLD MEDICAL SUPPLY INC Cape Coral, FL, ranked 218	$33K	Listed on the Medicare revocation list since November 10, 2020. Medicaid still paid claims in 2 later months, $32,504 in total. and 1 more
1	CLINICARE MEDICAL RESOURCES, INC. Tampa, FL, ranked 255	$16K	Listed on the SC Medicaid exclusion list since August 17, 2019. Medicaid still paid claims in 32 later months, $16,389 in total.
1	SUN HEALTH DIAGNOSTICS LLC Hallandale Beach, FL, ranked 257	$16K	Listed on the Medicare revocation list since February 1, 2023. Medicaid still paid claims in 3 later months, $16,267 in total.

All 399 in FL

Recent enforcement in FL

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJPleaded guiltyAug 14, 2026

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Forsythe used the names and insurance policy information of 22 individuals without their consent to bill two health insurance companies for counseling services she had not provided.

DOJConvictedAug 12, 2026

Cuban National Convicted of Unlawfully Obtaining US Citizenship After Concealing Healthcare Fraud Scheme

Rodriguez concealed on her naturalization application her participation in a seven-year healthcare fraud conspiracy that resulted in approximately $4.6 million in fraudulent healthcare claims.

DOJCivil settlementAug 3, 2026

Medicare Advantage Provider Complete Health to Pay $14,100,000 to Settle False Claims Act Suit

Complete Health caused the submission of diagnosis codes within HCC 55 and HCC 59 that were not clinically valid, not supported by medical records, and/or not considered in the beneficiary's care, increasing Medicare Advantage risk-adjusted payments from which it received a percentage.

DOJCivil settlementJul 31, 2026

Two Additional Ophthalmology Practices Agree to Pay $2.3M to Resolve Allegations of Fraudulent Claims to Medicare and Medicaid for Cranial Ultrasounds

Two ophthalmology practices billed Medicare and Medicaid for medically unnecessary trans-cranial doppler ultrasounds premised on false diagnoses, with one practice receiving remuneration from a third-party testing company to refer patients for the tests.

DOJCivil settlementJul 31, 2026

Two Additional Ophthalmology Practices Agree to Pay $2.3M to Resolve Allegations of Fraudulent Claims to Medicare and Medicaid for Cranial Ultrasounds

Two ophthalmology practices billed Medicare and Medicaid for medically unnecessary trans-cranial doppler ultrasounds premised on false diagnoses and, as to Floral Park Ophthalmology, resulting from remuneration paid by a third-party testing company to induce referrals.

Referral packet

The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.

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