MD Khadimul Islam

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

P125481 Issued in NY

Practice address

434 Monroe Ave
Hornell, NY 14843-2236

Phone

(607) 324-7740

NPI assigned

Oct 24, 2023

Last updated

Nov 11, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mill Basin Medical Health PCGroup PAC ID 9133566128, 104 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sisters of Charity Hospital Hospital, Buffalo, NY, CCN 330078
• Delaware Oaks Center for Rehabilitation and Nursin Nursing home, Buffalo, NY, CCN 335640

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mill Basin Medical Health PC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1346006202
  Medicare reassignment Care Compare group NPD
• Nys Medical Associate PLLC

  • Internal Medicine Physician
  • Rego Park, NY
  • NPI 1104268572
  Medicare reassignment NPD
• En Operations Acquisitions LLC

  dba Delaware Oaks Center for Rehabilitation and Nursing

  • Skilled Nursing Facility
  • Buffalo, NY
  • NPI 1376113852
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• En Operations Acquisitions LLC

  dba Delaware Oaks Center for Rehabilitation and Nursing

  • Skilled Nursing Facility
  • Buffalo, NY
  • NPI 1376113852

  Nursing home

  Care Compare affiliation
• Sisters of Charity Hospital of Buffalo New York

  • General Acute Care Hospital
  • Cheektowaga, NY
  • NPI 1043455199
  Care Compare affiliation
• Sisters of Charity Hospital of Buffalo New York

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1790727543
  Care Compare affiliation

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

{
    "created_epoch": "1698105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1043082951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 PRESTON RD FL 1",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142153626",
            "telephone_number": "347-285-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 MONROE AVE",
            "city": "HORNELL",
            "state": "NY",
            "postal_code": "148432236",
            "telephone_number": "607-324-7740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISLAM",
        "first_name": "MD KHADIMUL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-24",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "P125481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amorette Hudzina, OTR/L
• Jenna Carlynn Hunt, RN
• Joy Juhee Hur, DO
• Wendy S Ingold, LPN
• Keith Isaman
• Jeffrey Michael Jacobson, M.D.
• Tiffany Rose Jandrew, PT
• John S Weyand DC PC
• Alison Johnson
• Kasey Colleen Johnson, MS

• Internal Medicine Physician in Hornell, NY
• Providers in Hornell, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.