Nazrul Islam, M.D., PA.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

L5384 Issued in TX

Practice address

1500 W 38TH St Ste 31
Austin, TX 78731-6318

Phone

(512) 371-7905

Fax

(512) 371-9866

NPI assigned

Aug 31, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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

Psychiatry

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Physician Assistant

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 and National Provider Directory roles.

• Nazrul Islam MD, PA

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Austin, TX
  • NPI 1306024799
  Medicare reassignment Authorized official
• Nazrul Islam M.D, P.a

  • Psychiatry Physician
  • Austin, TX
  • NPI 1316212855
  NPD
• Austin Diagnostic Clinic, PA

  • Ambulatory Surgical Clinic/Center
  • Austin, TX
  • NPI 1619923950
  NPD (past)
• Bluebonnet Trails Community MHMR Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Round Rock, TX
  • NPI 1730135864

  Psychiatry

  NPD (past)
• Texas Spine and Pain Center PLLC

  • Physical Medicine & Rehabilitation Physician
  • Austin, TX
  • NPI 1932558749
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1154433431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 300597",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787030010",
            "telephone_number": "512-371-7905",
            "fax_number": "512-371-9866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 W 38TH ST STE 31",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787316318",
            "telephone_number": "512-371-7905",
            "fax_number": "512-371-9866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISLAM",
        "first_name": "NAZRUL",
        "name_prefix": "Dr.",
        "credential": "M.D., PA.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "L5384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "202090270",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD ID",
            "identifier": "0056MH",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claire Larson Isbell, M.D.
• Lily Isbell, CPNP-PC
• Jenivie Ovada Isgitt, M.A.
• Subia Ishtiaq
• Jennifer Isi, LVN
• Tanzina Aziz Islam, M.D.
• Jessica Lorraine Isnetto, ARNP
• Suzanne Wyllys Isola, LPC
• Merri Isom
• Haneen Issa

• Psychiatry Physician in Austin, TX
• Providers in Austin, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.