Nadim Bin Islam, M.D.
Individual provider Active NPI Emergency Medicine Physician · Conroe, TX
NPI 1457324972 · NPPES record last updated Mar 26, 2010
Key facts
- NPI
- 1457324972
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- M0116 (TX)
- Practice address
- 504 Medical Center Blvd
Conroe, TX 77304-2808 - Phone
- (409) 539-1111
- Fax
- (409) 788-8044
- NPI assigned
- Feb 8, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051129000644 | TX | Practitioner - Emergency Medicine | 5395721120 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M0116 | TX | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Round Table Physicians Group PLLC | Current |
Accepting new patients | |
| Barrier Reef Emergency Physicians PLLC | Emergency Medicine | Current |
Accepting new patients |
| Emergency Medicine Services of TX, PLLC | Emergency Medicine | Current |
Accepting new patients |
| Acs Primary Care Physicians Southwest, PA | Emergency Medicine | Current |
Accepting new patients |
| Travis County Emergency Physicians PA | Emergency Medicine | Current |
Accepting new patients |
| Round Table Specialist Group, PLLC | Emergency Medicine | Current | Accepting new patients |
| Texan Star Emergency Physicians PLLC | Emergency Medicine | Current |
Accepting new patients |
| Singleton Associates PA | Past | Accepting new patients | |
| Patriot Emergency Physicians PLLC | Emergency Medicine | Past | Accepting new patients |
| Methodist Health Centers | Past | Accepting new patients | |
| Greater Houston Emergency Physicians PLLC | Emergency Medicine | Past | Accepting new patients |
Locations (25 of 33)
132 E Hospital Dr
Angleton, TX 77515
Phone (210) 629-3866
7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305
5701 W Slaughter Ln
Bldg G
Austin, TX 78749
Phone (512) 651-5787
4401 Garth Rd
Baytown, TX 77521
Phone (281) 420-8500
504 Medical Center Blvd
Conroe, TX 77304
Phone (936) 539-1111
27800 NW Freeway
Cypress, TX 77433
Phone (346) 231-4000
225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400
301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883
2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779
1014 Wirt Rd
Ste 200
Houston, TX 77055
Phone (713) 527-5000
14201 E Sam Houston Pkwy N
Houston, TX 77044
Phone (281) 436-8800
6191 E Sam Houston Pkwy N
#B
Houston, TX 77049
Phone (713) 295-5300
11103 Westheimer Rd
Houston, TX 77042
Phone (832) 708-3651
18500 Katy Fwy
Houston, TX 77094
Phone (281) 206-9020
18220 Tomball Pkwy
Houston, TX 77070
Phone (281) 477-0000
800 W Central Texas Expy
Killeen, TX 76541
Phone (254) 220-4117
22999 Highway 59 N
Kingwood, TX 77339
Phone (281) 348-3322
6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000
1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050
2555 Gulf Fwy S
League City, TX 77573
Phone (832) 932-9850
2901 4th St
Longview, TX 75605
Phone (281) 371-1800
4000 Spencer Hwy
Pasadena, TX 77504
Phone (713) 359-1000
11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000
11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020
11800 Astoria Blvd
Pearland, TX 77089
Phone (281) 929-6100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | M0116 | TX | Yes |
| Pediatric Emergency Medicine (Emergency Medicine) Physician | 207PP0204X | M0116 | TX |
Addresses
Primary practice location
504 Medical Center Blvd
Conroe, TX 77304-2808
Mailing address
PO Box 200993
Houston, TX 77216-0993
Phone (281) 784-1111
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 177265901 | Medicaid | TX | |
| 177265906 | Medicaid | TX | |
| 1457324972 | Other | TX | TRICARE SOUTH |
| 8P5092 | Other | TX | BCBSTX PROV NO |
| 1772659-02 | Medicaid | TX |
Other providers in Conroe, TX
- Mahmoud Irannezhad
- Craig L Ireland
- Iron Bodies Nutrition & Performance
- Osato Tyra Irorere
- Monica Iruke
- Amita Israel
- Abdel-Fawzi Issah
- Mary Ithil
- Ival LLC
- Ival,LLC Dba Labxpress
All providers in Conroe, TX · Emergency Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.