NPIMap

Individual provider Active NPI

Rezwan Islam, MD

  • Medical Oncology Physician
  • Wyoming, MN
National Provider Identifier
1154417145
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
81162 Issued in MN
Practice address
5200 Fairview Blvd Ste 1300
Wyoming, MN 55092-8013
Phone
(651) 982-7980
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 41049 WI
Medical Oncology Physician 207RX0202X 81162 MN Primary
Hematology & Oncology Physician 207RH0003X 41049 WI

Addresses

Primary practice location

5200 Fairview Blvd Ste 1300
Wyoming, MN 55092-8013

Mailing address

1700 University Ave W FL 6
Saint Paul, MN 55104-3727

Other practice location 1

3501 Cranberry Blvd
Weston, WI 54476
Phone (715) 847-3017

Other identifiers 1

IdentifierTypeStateIssuer
32548600MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051121000673 WI Practitioner - Medical OncologyPractitioner - Hematology/OncologyPractitioner - Internal Medicine 0143249037 Reassigns benefits to 2 organizations
I20260127003304 MN Practitioner - Hematology/Oncology 0143249037 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healtheast Medical Research InstituteGroup PAC ID 3971407636, 665 clinicians
Fairview Express CareGroup PAC ID 3375645179, 1,946 clinicians
Aspirus Rhinelander and Tomahawk Hospitals and Clinics, Inc.Group PAC ID 9335059856, shared by 17 NPIs, 566 clinicians

Practice addresses (Care Compare)

1575 Beam Ave
Maplewood, MN 55109-1126
Phone (651) 232-7000

5200 Fairview Blvd
Wyoming, MN 55092-8013
Phone (651) 982-7000

824 Illinois Ave
Stevens Point, WI 54481-3112
Phone (715) 344-1600

Hospital & facility affiliations

  • Aspirus Stevens Point Hospital & Clinics, Inc. Hospital, Stevens Point, WI, CCN 520002
  • M Health Fairview University of MN Medical Center Hospital, Minneapolis, MN, CCN 240080
  • Aspirus Riverview Hospital & Clinics Inc Hospital, Wisconsin Rapids, WI, CCN 520033
  • Fairview Lakes Health Services Hospital, Wyoming, MN, CCN 240050
  • M Health Fairview St John'S Hospital Hospital, Maplewood, MN, CCN 240210

Merit-based Incentive Payment System (MIPS)

Final score
87.15 of 100Reported as group
Quality
73.7
Promoting interoperability
100
Improvement activities
40
Cost
76.71

Merit-based Incentive Payment System (MIPS)

Final score
90.65 of 100Reported as group
Quality
87.9
Promoting interoperability
100
Improvement activities
40
Cost
73.87

Merit-based Incentive Payment System (MIPS)

Final score
90.56 of 100Reported as group
Quality
87.43
Promoting interoperability
100
Improvement activities
40
Cost
78.24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41049WIMDHematology & Oncology Physician
81162MNMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince May 1, 2018 Accepting new patients
Aspirus Wausau Hospital, Inc. Internal Medicine Current Accepting new patients
Fairview Express Care CurrentSince Feb 1, 2026 Accepting new patients
Healtheast Medical Research Institute Internal Medicine CurrentSince Feb 1, 2026 Accepting new patients
Fairview Express Care CurrentSince Feb 1, 2026 Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. Current Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince May 1, 2018 Accepting new patients
Aspirus Stanley Hospital & Clinics, Inc. CurrentSince Jul 23, 2017 Accepting new patients
Aspirus Stanley Hospital & Clinics, Inc CurrentSince Jul 23, 2017 Accepting new patients
Healtheast Medical Research Institute Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273

1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000

5200 Fairview Blvd
Wyoming, MN 55092
Phone (651) 464-4611

5200 Fairview Blvd
Ste 1300
Wyoming, MN 55092
Phone (651) 982-7600

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074

1120 Pine St
Stanley, WI 54768
Phone (715) 644-5530

824 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500

900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500

401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700

333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160

3301 Cranberry Blvd
Weston, WI 54476
Phone (715) 393-2100

420 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-7474

410 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-5257

Interoperability endpoints

  • Direct secure messaging: rislam167384@direct.aspirus.org

Organizations & group practices 12

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.

Hospital & facility affiliations 8

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1154417145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 UNIVERSITY AVE W FL 6",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 FAIRVIEW BLVD STE 1300",
            "city": "WYOMING",
            "state": "MN",
            "postal_code": "550928013",
            "telephone_number": "651-982-7980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3501 Cranberry Blvd",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "WI",
            "postal_code": "54476",
            "country_code": "US",
            "telephone_number": "715-847-3017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISLAM",
        "first_name": "REZWAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "41049",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "MN",
            "license": "81162",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "WI",
            "license": "41049",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32548600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyoming, MN

Sources for this page

Verify at the official NPI Registry.