Mirza Saleem-Ul Islam, M.D., M.P.H.

Primary specialty

Pediatric Surgery PhysicianTaxonomy code 2086S0120X

License

ME98674 Issued in FL

Practice address

1600 SW Archer Rd
#100119
Gainesville, FL 32610-0119

Phone

(352) 392-3718

Fax

(352) 392-9081

NPI assigned

Sep 27, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Saleem Islam Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• University of Florida Jacksonville Physicians, Inc.

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1144276452
  NPD
• University Surgery Associates, PLLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Jackson, MS
  • NPI 1356451652

  Pediatric Surgery

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491436800000",
    "number": "1023109014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100119",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD",
            "address_2": "#100119",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100119",
            "telephone_number": "352-392-3718",
            "fax_number": "352-392-9081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISLAM",
        "first_name": "MIRZA",
        "middle_name": "SALEEM-UL",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2017-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "FL",
            "license": "ME98674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277490900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SALEEM",
            "last_name": "ISLAM",
            "credential": "M.D., M.P.H.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Philip Blackburn Irwin, P. A.
• Carol Ann Isaac, P.T.
• Ilia Isaacs
• John H. Isaacs Jr., MD
• Iselect Home Care LLC
• Mohammed Nadimul Islam, D.D.S, B.D.S
• Rubab Islam, MD
• Shehla Peshimam Islam, MD
• Zahra Ismail
• Zeeshan H Ismail, M.D

• Pediatric Surgery Physician in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Pediatric Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.