Bilal Islam, M.D.

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

ME131131 Issued in FL

Practice address

3890 Jenks Ave
Lynn Haven, FL 32444-4701

Phone

(850) 215-6400

NPI assigned

Apr 4, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Family Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emerald Coast Rheumatology LLCGroup PAC ID 7810165206, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tender Touch Health Care Services Home health agency, Panama City, FL, CCN 107791
• Doctors Memorial Hospital Hospital, Bonifay, FL, CCN 101307

Merit-based Incentive Payment System (MIPS)

Final score

80.93 of 100Reported as individual

Quality

66.42

Promoting interoperability

98

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3219/brand/1/csg/1/fhir/r4
• Direct secure messaging: bilal.islam.1@3219.direct.athenahealth.com

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.

• Emerald Coast Rheumatology LLC

  • Rheumatology Physician
  • Lynn Haven, FL
  • NPI 1427346469

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Afc Florida, LLC

  dba American Family Care

  • Urgent Care Clinic/Center
  • Pace, FL
  • NPI 1205268208

  Family Medicine

  Medicare reassignment NPD

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

• Ahmed Katoot

  dba Tender Touch Healthcare Services

  • Home Health Agency
  • Panama City, FL
  • NPI 1649211004
  Care Compare affiliation
• Holmes County Hospital Corp

  dba Doctors Memorial Hospital

  • Critical Access Hospital
  • Bonifay, FL
  • NPI 1366431702
  Care Compare affiliation
• Ahmed M Katoot

  • Home Health Agency
  • Panama City, FL
  • NPI 1851645360
  Care Compare affiliation

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

{
    "created_epoch": "1365033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1124361431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3890 JENKS AVE",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324444701",
            "telephone_number": "850-630-2554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3890 JENKS AVE",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324444701",
            "telephone_number": "850-215-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISLAM",
        "first_name": "BILAL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-04",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME131131",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "FL",
            "license": "ME131131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Housecall Home Health, LLC (Amedisys Home Health)
• Dusty Darnell Huff, LPC, LMHC, CCM
• David E Huston, OD
• Indenpendent Contractor for Counseling Services
• Kristopher D Isenberg
• Wendi W Jackson, SLP
• Eugene Roland Jalbert II, DO
• Jefferson M Trupp MD PA
• Matthew Leslie Jinks, PHARM.D.
• Thomas R. Johnson, M.D.

• Sports Medicine (Family Medicine) Physician in Lynn Haven, FL
• Providers in Lynn Haven, FL by specialty
• Sports Medicine (Family Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.