Ivan Islamaj, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9107915 Issued in FL

Practice address

1150 NW 72ND Ave Ste PH-1
Miami, FL 33126-1936

Phone

(216) 502-6577

Fax

(305) 701-9902

NPI assigned

Sep 11, 2014

Last updated

Jun 12, 2026By 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 FL, DC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

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

• Icare Mobile Wound Care VA PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Miami, FL
  • NPI 1932992856

  DC

  Medicare reassignment NPD Authorized official
• Icare Mobile Medicine LLC

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1376215111
  Medicare reassignment Authorized official
• Icare Mobile Health, LLC

  • General Practice Physician
  • Miami, FL
  • NPI 1063366565
  NPD Authorized official
• Northstar Health Inc

  • Internal Medicine Physician
  • Ashburn, VA
  • NPI 1861094096
  NPD (past)

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

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1174924963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 NW 72ND AVE STE PH-1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331261936",
            "telephone_number": "216-502-6577",
            "fax_number": "305-701-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 NW 72ND AVE STE PH-1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331261936",
            "telephone_number": "216-502-6577",
            "fax_number": "305-701-9902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISLAMAJ",
        "first_name": "IVAN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-11",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9107915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isis Aid Agency Inc.
• George Iskandar, DMD
• Evelyn Isla de la Cruz
• Andres Isla Sanchez, APRN
• Aditi Islam, DO
• Island Sunshine Transport Solutions LLC
• Ismael Montane MD,PA
• Aliya Ismail, LMHC
• Youssef M Zohdy Ismail
• Magalie Isme

• Medical Physician Assistant in Miami, FL
• Providers in Miami, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; 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.