NPIMap

Individual provider Active NPI

Rafiul Sameer Islam, MD

  • Gastroenterology Physician
  • Lubbock, TX
National Provider Identifier
1043473820
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
N7811 Issued in TX
Practice address
4505 82ND St Ste 5
Lubbock, TX 79424-3219
Phone
(806) 696-4440
Fax
(806) 696-4441
NPI assigned
Jul 2, 2008
Last updated
Jan 14, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X N7811 TX Primary

Addresses

Primary practice location

4505 82ND St Ste 5
Lubbock, TX 79424-3219

Mailing address

4505 82ND St Ste 5
Lubbock, TX 79424-3219
Phone (806) 696-4440

Other identifiers 1

IdentifierTypeStateIssuer
670489MedicaidAZ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Sameer.islam2@direct.myteamcare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110816000813 TX Practitioner - GastroenterologyPractitioner - Emergency MedicinePractitioner - Internal Medicine 5698953495 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Texas Tech University Health Science Center School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lubbock Gastroenterology and Liver Associates PLLCGroup PAC ID 0941630966, 11 clinicians

Practice addresses (Care Compare)

4505 82ND St
Suite 5
Lubbock, TX 79424-3219
Phone (806) 696-4440

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.78 of 100Reported as group
Quality
75.55
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy210
Upper gastrointestinal (GI) endoscopy for acid reflux538

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lubbock Gastroenterology & Liver Associates PLLC Gastroenterology CurrentSince Apr 1, 2020 Accepting new patients

Locations

3502 9th St
Ste 360
Lubbock, TX 79415
Phone (806) 414-2783

4505 82nd St
Ste 5
Lubbock, TX 79424
Phone (806) 696-4440

Interoperability endpoints

  • Direct secure messaging: sameer.islam2@direct.myteamcare.com

Organizations & group practices 1

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.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1043473820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 82ND ST STE 5",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794243219",
            "telephone_number": "806-696-4440",
            "fax_number": "806-696-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 82ND ST STE 5",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794243219",
            "telephone_number": "806-696-4440",
            "fax_number": "806-696-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISLAM",
        "first_name": "RAFIUL",
        "middle_name": "SAMEER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-02",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "N7811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "670489",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Sameer.islam2@direct.myteamcare.com",
            "affiliation": "N",
            "address_1": "4505 82nd St Ste 5",
            "city": "Lubbock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "794243219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.