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Khadija Ismail, MD

Emergency Medicine · San Jose

NPI 1285096495

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Offices
2

Offices

2 locations · Emergency Physicians Associates San Jose PC · County of Santa Clara

Looking this up.

Hospitals listed: Kaiser Foundation Hospital-San Jose · Santa Clara Valley Medical Center. That is not proof they admit you there this week.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Ismail’s office at (408) 885-5000 to ask if they take your plan before you enroll.

California Medical Board record

Licence A152016 · Current

Licensed to practise in California · since 2017 · expires 2027-10-31 · Albert Einstein College of Medicine of Yeshiva University.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Hospitals they work in

2 hospitals

These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.

  • Kaiser Foundation Hospital-San JoseSan Jose, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Kaiser Permanente, which runs 41 hospitals in 3 statesPatients rate it 3 of 5 · 66% would definitely recommend it
    Overall rating: 3 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.258, Oct 2024 – Sep 2025
  • Santa Clara Valley Medical CenterSan Jose, CAAcute Care Hospital · Government - Local · Has an emergency department · Birthing-friendlyPart of Santa Clara Valley Health and Hospital System, which runs 3 hospitalsPatients rate it 3 of 5 · 70% would definitely recommend it
    Overall rating: 2 of 5 starsWorse than the national rate — SSI - Colon Surgery: 2.572, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.563, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.256, Oct 2024 – Sep 2025Better than the national rate — MRSA Bacteremia: 0.369, Oct 2024 – Sep 2025
See every measure and the patient survey for Kaiser Foundation Hospital-San Jose

Behind the star rating — Deaths: 0 better, 3 the same, 0 worse of 3 measures. Safety: 1 better, 5 the same, 0 worse of 6 measures. Readmissions: 0 better, 2 the same, 0 worse of 2 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Kaiser Foundation Hospital-San Jose
Clostridium Difficile (C.Diff)Infections0.258BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.3 (0.22 to 2.37) · 181 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.89 (0.43 to 1.34)No differentJul 2022 – Jun 2024
Death rate for pneumonia patientsComplications and deaths14.2 · 27 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths11.6 · 271 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.8 · 2,952 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.27 (0.04 to 0.5) · 894 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.26 (0.05 to 0.48) · 908 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.19 (0.67 to 5.72) · 176 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.63 (0 to 3.34) · 61 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.23 (0.53 to 3.92) · 168 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths8.11 (0 to 17.58) · 68 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths4.85 (0.67 to 9.03) · 63 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.74 (0.22 to 3.26) · 51 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.43 (0 to 1.53) · 630 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4 · 48 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections1No differentOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.843No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.88No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.611No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits15 · 171 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20.9 · 571 casesNoneJul 2023 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits147.1 · 28 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits21 · 639 casesNoneJul 2023 – Jun 2025
Rate of readmission after hip/knee replacementUnplanned return visits5.6 · 48 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.7 · 157 casesNoneJul 2023 – Jun 2025

What patients said (1,294 patients answered, 21% of those asked)

Patient survey stars by topic at Kaiser Foundation Hospital-San Jose
Cleanliness4
Nurse communication2
Doctor communication4
Communication about medicines2
Discharge information3
Overall hospital rating2
Quietness1
Recommend hospital3
Share of patients giving the best answer at Kaiser Foundation Hospital-San Jose
Room was "always" clean71%
Nurses "always" communicated well70%
Doctors "always" communicated well79%
Staff "always" explained54%
Yes, staff "did" give patients this information85%
Yes, staff "did" give patients information about help after discharge85%
Doctors "always" explained things so they could understand71%
Doctors "always" listened carefully79%
Doctors "always" treated them with courtesy and respect85%
Patients who gave a rating of "9" or "10" (high)61%
Staff "always" explained new medications67%
Nurses "always" explained things so they could understand67%
Nurses "always" listened carefully66%
Nurses "always" treated them with courtesy and respect78%
"Always" quiet at night37%
"YES", patients would definitely recommend the hospital66%
Staff "always" explained possible side effects41%
Yes, staff "did" give patients information about possible symptoms85%
See every measure and the patient survey for Santa Clara Valley Medical Center

Behind the star rating — Deaths: 2 better, 6 the same, 0 worse of 8 measures. Safety: 2 better, 5 the same, 1 worse of 8 measures. Readmissions: 0 better, 10 the same, 1 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Santa Clara Valley Medical Center
SSI - Colon SurgeryInfections2.572WorseOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.563BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.256BetterOct 2024 – Sep 2025
MRSA BacteremiaInfections0.369BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.25 (0.3 to 2.2) · 1,535 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.07 (0.76 to 1.38)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths214.59 (167.38 to 261.8) · 108 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.8 · 41 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths6 · 141 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths10.2 · 124 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths8.3 · 501 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths14.9 · 653 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10.1 · 348 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3 · 4,502 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.24 (0.04 to 0.43) · 9,014 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.34 (0.15 to 0.52) · 9,216 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths4.54 (2.51 to 6.58) · 1,421 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.54 (0 to 3.2) · 288 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.11 (0.66 to 3.56) · 1,446 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths11.61 (4.09 to 19.14) · 294 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths7.29 (3.39 to 11.2) · 299 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.9 (0.45 to 3.36) · 333 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.23 (0 to 0.78) · 7,538 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths5.4 · 94 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.735No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections2.573No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14.6 · 185 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits22.1 · 951 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits56.3 · 128 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits6.4 · 644 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits1.3 · 699 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.3 · 921 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.7 (3.9 to 8.1) · 226 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits12.6 (9.4 to 16.5) · 226 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.4 · 94 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits11.4 · 54 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.3 · 242 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.2 (9.9 to 17.4) · 702 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.7 to 1.4) · 195 casesNo differentJan 2024 – Dec 2024

What patients said (4,032 patients answered, 29% of those asked)

Patient survey stars by topic at Santa Clara Valley Medical Center
Cleanliness3
Nurse communication3
Doctor communication3
Communication about medicines3
Discharge information2
Overall hospital rating3
Quietness2
Recommend hospital4
Share of patients giving the best answer at Santa Clara Valley Medical Center
Room was "always" clean70%
Nurses "always" communicated well73%
Doctors "always" communicated well76%
Staff "always" explained57%
Yes, staff "did" give patients this information82%
Yes, staff "did" give patients information about help after discharge82%
Doctors "always" explained things so they could understand71%
Doctors "always" listened carefully74%
Doctors "always" treated them with courtesy and respect82%
Patients who gave a rating of "9" or "10" (high)67%
Staff "always" explained new medications71%
Nurses "always" explained things so they could understand71%
Nurses "always" listened carefully69%
Nurses "always" treated them with courtesy and respect80%
"Always" quiet at night43%
"YES", patients would definitely recommend the hospital70%
Staff "always" explained possible side effects44%
Yes, staff "did" give patients information about possible symptoms83%

Original Medicare doctor bills

$30,515

Medicare paid this office $30,515 for 176 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Emergency department visit with high level of medical decision making110$16,658$147
Critical care, first 30-74 minutes47$8,383$178
Emergency department visit with moderate level of medical decision making17$1,948$103
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only43$332$7

Who their Medicare patients are

176 Original Medicare patients in 2024. Average age 75 · Under 65 14% · 85 and older 22% · Women 48% · Also on Medicaid 75% · Health risk score 2.49. Above the middle of the specialty; the typical emergency medicine clinician is at 2.01.

Conditions among them: High blood pressure 75% · Diabetes 54% · Chronic kidney disease 38% · Coronary heart disease 35% · Heart failure 32% · Dementia 32% · Atrial fibrillation 30% · COPD 26% · Depression 26% · Stroke 21% · Cancer 15%.

The office billed $290,353, Medicare allowed $38,621 and paid $30,515; for 297 services of 28 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
2024176297752.49$290,353$30,515
2023338407742.51$608,074$57,809
2022405514742.60$735,532$77,389
2021381476742.59$671,321$73,277
2020131152742.56$204,495$25,082
20192262731.03$7,571$3,415

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 3 services

Original Medicare services billed in 2023
Emergency department visit with high level of medical decision making219$33,380$147
Critical care, first 30-74 minutes85$16,044$187
Emergency department visit with moderate level of medical decision making36$3,852$104

2022: 6 services

Original Medicare services billed in 2022
Emergency department visit with high level of medical decision making265$43,511$157
Critical care, first 30-74 minutes109$22,080$203
Emergency department visit with moderate level of medical decision making34$3,571$102
Critical care, each additional 30 minutes19$2,910$100
Emergent insertion of breathing tube into windpipe using an endoscope11$1,359$124
Insertion of non-tunneled central venous tube for infusion (5 years or older)12$893$74

2021: 5 services

Original Medicare services billed in 2021
Emergency department visit with high level of medical decision making231$37,643$154
Critical care, first 30-74 minutes124$25,296$198
Emergency department visit with moderate level of medical decision making28$3,234$112
Manual attempt to restore blood circulation and breathing12$1,977$165
Emergent insertion of breathing tube into windpipe using an endoscope13$1,619$125

2020: 3 services

Original Medicare services billed in 2020
Critical care, first 30-74 minutes52$11,322$218
Emergency department visit with high level of medical decision making67$10,685$157
Emergency department visit with moderate level of medical decision making11$1,155$105

2019: 1 service

Original Medicare services billed in 2019
New patient visit (45+ min)13$1,705$131

Medicaid work

$41,619 in 2024

Medicaid paid $41,619 for 2,364 billed services this clinician did in 2024, up to 98 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2024
EMERGENCY DEPARTMENT VISIT HIGH MDM387$15,035
EMERGENCY DEPT VISIT MOD MDM335$9,014
Service197$5,687
Service138$5,142
CT ABDOMEN & PELVIS W/CONTRAST MATERIAL13$1,076
Service20$975
EMERGENCY DEPT VISIT LOW MDM51$834
Radiologic examination, chest; single view88$597
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report86$561
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary procedure)30$530
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug27$525
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only74$314
Medicaid work by year
20242,3642398$41,619
202310,67442156$174,277
20223,72621131$114,255
20214,67822107$145,460
20208761068$32,029
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
EMERGENCY DEPT VISIT MOD MDM1,444$47,640
EMERGENCY DEPARTMENT VISIT HIGH MDM963$40,763
EMERGENCY DEPT VISIT LOW MDM631$13,910
Service800$12,680
Service519$11,473
Service188$7,006
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes150$7,004
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug206$5,265
Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure)189$3,518
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report334$2,822
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary procedure)201$2,679
COLLECTION VENOUS BLOOD VENIPUNCTURE46$2,665

2022

Largest Medicaid services in 2022
EMERGENCY DEPARTMENT VISIT HIGH MDM935$46,992
EMERGENCY DEPT VISIT MOD MDM848$29,049
EMERGENCY DEPT VISIT LOW MDM561$12,811
Service207$6,815
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes109$5,838
Service181$3,984
Service60$2,182
COMPREHENSIVE METABOLIC PANEL195$1,476
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug30$1,368
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report50$746
Computed tomography, head or brain; without contrast material13$685
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)230$643

2021

Largest Medicaid services in 2021
EMERGENCY DEPARTMENT VISIT HIGH MDM1,166$62,797
EMERGENCY DEPT VISIT MOD MDM754$28,626
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes212$13,369
EMERGENCY DEPT VISIT LOW MDM594$13,074
Service195$7,966
Service148$5,599
Service96$2,486
COMPREHENSIVE METABOLIC PANEL293$2,024
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report133$2,024
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug43$1,541
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)322$1,395
Service63$922

2020

Largest Medicaid services in 2020
EMERGENCY DEPARTMENT VISIT HIGH MDM267$15,708
EMERGENCY DEPT VISIT MOD MDM181$6,108
EMERGENCY DEPT VISIT LOW MDM152$3,489
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes63$3,271
Service50$1,523
Service40$1,485
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)39$198
Service15$155
COMPREHENSIVE METABOLIC PANEL13$93
Service(s) provided between 10:00 PM and 8:00 AM at 24-hour facility, in addition to basic service56$0

Drugs they prescribed that Part D paid

$3,158

Pharmacies billed $3,158 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

115 generic and 15 brand-name prescriptions · $3,158 in drug cost · 35 antibiotic prescriptions to 32 people.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Ondansetron Odt12$83$7
Ibuprofen13$60$5

Year by year

Part D prescribing by year
202413078None12%$3,158
20232371357% (16)None$3,590
20222431306% (14)None$2,923
20211569814% (22)None$1,449
20208555NoneNone$2,012
20193626NoneNone$1,049
20182316NoneNone$1,007

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 6 drugs

Part D drugs prescribed in 2023
Cefdinir18$427$24
Ondansetron Odt15$262$17
Cephalexin19$187$10
Ibuprofen20$102$5
Gabapentin11$56$5
Hydrocodone-Acetaminophen16$38$2

2022: 5 drugs

Part D drugs prescribed in 2022
Albuterol Sulfate Hfa13$457$35
Ondansetron Odt20$202$10
Ibuprofen43$162$4
Cephalexin23$145$6
Hydrocodone-Acetaminophen13$25$2

2021: 3 drugs

Part D drugs prescribed in 2021
Cephalexin21$122$6
Ibuprofen24$101$4
Hydrocodone-Acetaminophen21$58$3

Money from drug and device companies

$111 in 2020

A payment is not proof that care is biased.

Payments by company
AcelRx PharmaceuticalsDsuvia$111
1 payment
  • Meals for Dsuvia · 2020-11-21 · $111
See the published payment
Every published payment
AcelRx PharmaceuticalsMeals · 2020-11-21Dsuvia$111

Professional record

NPI
1285096495
Licence
CA A152016California A152016: Current · expires 2027-10-31
Trained
Albert Einstein College of Medicine of Yeshiva University, 2016
Group
Emergency Physicians Associates San Jose PC · County of Santa Clara
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207P00000X (207P00000X)
Mailing address
1000 W Carson St Bldg D9, Torrance, CA, 90502
NPI first listed
2016-03-26
NPI last updated
2020-01-09
NPI record certified
2020-01-09

This is when the NPI record was last certified, not a medical board exam.

Extra NPI addresses: 9333 Imperial Hwy, Downey, CA, 90242