Nazrul Islam MD, PA

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

L5384 Issued in TX

Legal business name

NAZRUL ISLAM MD, PA

Practice address

1600 W 38TH St
Suite 415
Austin, TX 78731-6400

Phone

(512) 371-7905

Fax

(512) 371-9866

NPI assigned

Feb 7, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Nazrul Islam, M.D.NPI 1154433431

Title

President

Phone

(512) 371-7905

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Tax ID family

Nazrul Islam MD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Nazrul Islam M.D, P.a

  • Psychiatry Physician
  • Austin, TX
  • NPI 1316212855
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nazrul Islam, M.D., PA.

  • Psychiatry Physician
  • Austin, TX
  • NPI 1154433431
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398729600000",
    "number": "1306024799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W 38TH ST",
            "address_2": "SUITE 415",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787316400",
            "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": "1600 W 38TH ST",
            "address_2": "SUITE 415",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787316400",
            "telephone_number": "512-371-7905",
            "fax_number": "512-371-9866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAZRUL ISLAM MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2014-04-29",
        "status": "A",
        "authorized_official_last_name": "ISLAM",
        "authorized_official_first_name": "NAZRUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-371-7905",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "TX",
            "license": "L5384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Nazar, LPC
• Elinore Angelica Nazareno, LMSW
• Nazcare LLC
• Hannah Elysse Nazir, LMSW
• Nazrul Islam M.D, P.a
• NCM Pas, LLC
• ND Community Supports, Inc.
• Roland Ndebangwen
• Hannah Nyokabi Ndika, LPC
• Mambo Jingla Ndingwan, DNP-FPMHNP

• Mental Health Clinic/Center (Including Community Mental Health Center) in Austin, TX
• Providers in Austin, TX by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.