NPIMap

Individual provider Active NPI

Mohammed F Islam, MD

  • Hematology & Oncology Physician
  • Pittsburgh, PA
National Provider Identifier
1457343683
Registry record updated Oct 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD065794L Issued in PA
Practice address
4815 Liberty Ave
Suite 340
Pittsburgh, PA 15224-2156
Phone
(412) 681-4401
Fax
(412) 688-7555
NPI assigned
Aug 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X MD065794L PA Primary

Addresses

Primary practice location

4815 Liberty Ave
Suite 340
Pittsburgh, PA 15224-2156

Mailing address

247 Morewood Ave
Pittsburgh, PA 15213-1861
Phone (412) 622-0290

Other identifiers 1

IdentifierTypeStateIssuer
001831014MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mislam10959@direct.ahn.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040219000617 PA Practitioner - Hematology/Oncology 3577458330 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allegheny Clinic Medical OncologyGroup PAC ID 9739077561, 97 clinicians

Practice addresses (Care Compare)

1 Nolte Dr
Kittanning, PA 16201-7111
Phone (724) 543-8657

1020 Franklin St
Johnstown, PA 15905-4109
Phone (814) 534-9132

3124 Wilmington Rd
Suite 203
New Castle, PA 16105-1100
Phone (724) 657-6833

4815 Liberty Ave
Suite 340
Pittsburgh, PA 15224-2156
Phone (412) 681-4401

631 N Broad St Ext
Suite 101
Grove City, PA 16127-4603
Phone (724) 450-7010

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD065794LPAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Medical Oncology Hematology & Oncology CurrentSince Jan 1, 2004 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Nov 21, 2016 Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Upmc Presbyterian Shadyside Past Accepting new patients

Locations

1020 Franklin St
Johnstown, PA 15905
Phone (814) 533-1095

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

1 Nolte Dr
Kittanning, PA 16201
Phone (724) 543-8109

3124 Wilmington Rd
Ste 203
New Castle, PA 16105
Phone (724) 657-6833

5200 Centre Ave
Ste 706
Pittsburgh, PA 15232
Phone (412) 461-4401

247 Morewood Ave
Pittsburgh, PA 15213
Phone (412) 622-0290

4815 Liberty Ave
Ste 340
Pittsburgh, PA 15224
Phone (412) 621-3211

Interoperability endpoints

  • Direct secure messaging: mislam10959@direct.ahn.org

Organizations & group practices 5

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.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1457343683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 MOREWOOD AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152131861",
            "telephone_number": "412-622-0290",
            "fax_number": "412-681-7605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 LIBERTY AVE",
            "address_2": "SUITE 340",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152242156",
            "telephone_number": "412-681-4401",
            "fax_number": "412-688-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISLAM",
        "first_name": "MOHAMMED",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PA",
            "license": "MD065794L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001831014",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mislam10959@direct.ahn.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4815 Liberty Ave",
            "address_2": "Suite 340",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152242156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.