Individual provider Active NPI

Yasmin Islam, MD

  • Ophthalmology Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1225558455
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME149453 Issued in FL
Practice address
7101 Fairway Dr
Palm Beach Gardens, FL 33418-3701
Phone
(561) 515-1500
Fax
(305) 326-6306
NPI assigned
Jun 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 271068 MA
Ophthalmology Physician 207W00000X ME149453 FL Primary

Addresses

Primary practice location

7101 Fairway Dr
Palm Beach Gardens, FL 33418-3701

Mailing address

7101 Fairway Dr
Palm Beach Gardens, FL 33418-3701
Phone (561) 515-1500

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210806000154 FL Practitioner - Ophthalmology 6709159924 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Florida College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harris Wilcox and Donovan PAGroup PAC ID 4981776333, 17 clinicians

Practice addresses (Care Compare)

2023 Professional Ctr Dr
Orange Park, FL 32073-4472
Phone (904) 272-2020

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery206

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME149453FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami Current Accepting new patients
University of Miami Internal Medicine CurrentSince Jun 29, 2021 Accepting new patients
Harris Wilcox and Donovan PA Ophthalmology Current Accepting new patients
University of Miami Ophthalmology CurrentSince Jun 29, 2021 Accepting new patients
Harris Wilcox and Donovan PA Ophthalmology CurrentSince Jul 1, 2022 Accepting new patients
Harris Wilcox and Donovan P a Ophthalmology CurrentSince Jul 1, 2022 Accepting new patients

Locations

5555 Ponce de Leon Blvd
Coral Gables, FL 33146
Phone (305) 585-1052

1855 Eastwest Pkwy
Fleming Isle, FL 32003

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

2 Shircliff Way
Ste 120
Jacksonville, FL 32204
Phone (904) 619-2006

11790 San Jose Blvd
Jacksonville, FL 32223
Phone (904) 765-2020

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

2023 Professional Center Dr
Orange Park, FL 32073
Phone 9042722020234

7101 Fairway Dr
West Palm Beach, FL 33418
Phone (561) 515-1500

Interoperability endpoints

  • Direct secure messaging: yislam@clayeye.emadirect.md

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1225558455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 FAIRWAY DR",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334183701",
            "telephone_number": "561-515-1500",
            "fax_number": "305-326-6306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 FAIRWAY DR",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334183701",
            "telephone_number": "561-515-1500",
            "fax_number": "305-326-6306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISLAM",
        "first_name": "YASMIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-20",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "271068",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME149453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.