Sarfraz A Islam, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME29005 Issued in FL

Practice address

14575 Tamiami Trail
North Port, FL 34287

Phone

(941) 625-1275

Fax

(941) 625-1286

NPI assigned

May 18, 2006

Last updated

Jan 11, 2012By the provider in NPPES

Sex

Female

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Sarfraz a Islam MD

  • Internal Medicine Physician
  • North Port, FL
  • NPI 1477589828
  NPD (past) Authorized official
• International Medical Billing Mngmnt and Consulting Inc

  • Non-Pharmacy Dispensing Site
  • Punta Gorda, FL
  • NPI 1275948366
  NPD (past)
• Phycon Medical Sciences Inc

  dba Phycon Diagnostic Imaging

  • Physiological Laboratory
  • Tampa, FL
  • NPI 1467419549
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326240000000",
    "number": "1285687434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14575 TAMIAMI TRAIL",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "34287",
            "telephone_number": "941-625-1275",
            "fax_number": "941-625-1286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14575 TAMIAMI TRAIL",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "34287",
            "telephone_number": "941-625-1275",
            "fax_number": "941-625-1286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISLAM",
        "first_name": "SARFRAZ",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2012-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME29005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036051100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kara Hunter
• Shirley Hunter
• Imagine Neuromuscular Therapy Center Inc
• Hunter Elizabeth Ingram
• Joann Irving, A.R.N.P.
• Kendra Ivey
• Christine A Jackson
• Lindsay Rae Jacobs, LMHC
• Anya James
• Ryan S. Jawitz, D.O.

• Internal Medicine Physician in North Port, FL
• Providers in North Port, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.