Muhammad Muhammad Islam, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

17200 Issued in SC

Practice address

1655 Bernardin Ave
Suite 200
Columbia, SC 29204-2039

Phone

(803) 256-1137

Fax

(803) 256-1138

NPI assigned

Oct 12, 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 SC

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

Internal Medicine

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carolina Kidney Specialists, LLCGroup PAC ID 2567462575, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fresenius Medical Care Camden Dialysis facility, Camden, SC, CCN 422509
• Fresenius Medical Care of Lugoff Elgin Dialysis facility, Lugoff, SC, CCN 422605

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Carolina Kidney Specialists, LLC

  • Nephrology Physician
  • Columbia, SC
  • NPI 1952482903
  Medicare reassignment Care Compare group NPD Authorized official
• Midlands Nephrology Associates, PA

  • Specialist
  • Columbia, SC
  • NPI 1205010188
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Fresenius Medical Care Cna Kidney Centers, LLC

  dba Fresenius Medical Care Camden

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Camden, SC
  • NPI 1942450325

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199232000000",
    "number": "1366531568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50183",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292500183",
            "telephone_number": "803-256-1137",
            "fax_number": "803-256-1138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 BERNARDIN AVE",
            "address_2": "SUITE 200",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042039",
            "telephone_number": "803-256-1137",
            "fax_number": "803-256-1138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISLAM",
        "first_name": "MUHAMMAD",
        "middle_name": "MUHAMMAD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2008-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "SC",
            "license": "17200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172002",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00361759",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Moore Isbell, NP
• Daniel Iseman, MD
• Christina Isenhower, LMSW
• Rebecca Isherwood
• Victor Norbert Iskersky, MD
• Nadjelah Isme, RBT
• Isn Sleep Center of Columbia LLC
• Michael Donovan Isreal, DPT
• It's Your Move (It's Your Move, LLC)
• It's Your Move

• Nephrology Physician in Columbia, SC
• Providers in Columbia, SC by specialty
• Nephrology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; 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.