Active NPI
Shaiful Islam, MD
- Cardiovascular Disease Physician
- Chambersburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD419346
- Practice address
- 22 St Paul Dr Ste 201
Chambersburg, PA 17201 - Phone
- (717) 217-6955
- Fax
- (717) 217-6955
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Cardiology Physician | 207UN0901X | 213878 | NY | |
| Internal Medicine Physician | 207R00000X | MD419346 | PA | |
| Cardiovascular Disease Physician | 207RC0000X | 213878 | NY | |
| Cardiovascular Disease Physician | 207RC0000X | MD419346 | PA | Primary |
Addresses
Primary practice location
22 St Paul Dr Ste 201
Chambersburg, PA 17201
Mailing address
785 5TH Ave Ste 3
Chambersburg, PA 17201-4232
Phone (717) 263-9555
Other practice location 1
97 Progress Blvd
Shippensburg, PA 17257-9053
Phone (717) 217-6944
Other practice location 2
338 Alexander Spring Rd
Carlisle, PA 17015-9129
Phone (717) 218-5103
Other practice location 3
501 E Main St Fl 2
Waynesboro, PA 17268-2353
Phone (717) 217-6944
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02010731 | Medicaid | NY | |
| 867633 | Other | PA | MEDICARE GROUP # |
| 102183950 0001 | Medicaid | PA | |
| 1007307260040 | Other | PA | MEDICAID GROUP # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080825000622 | PA | Practitioner - Cardiovascular Disease (Cardiology) | 8527958693 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wellspan Medical Group
Practice addresses (Care Compare)
112 N 7TH St
Chambersburg, PA 17201-1720
Phone (717) 267-7164
12 St Paul Dr
Chambersburg, PA 17201-1035
22 St Paul Dr
Chambersburg, PA 17201-1036
24 Antrim Commons Dr
Greencastle, PA 17225-1623
Phone (717) 255-0157
25 Monument Rd
York, PA 17403-5073
2618 E Market St
Autumn House
York, PA 17403
Phone (717) 845-7214
46 Walnut Bottom Rd
Shippensburg, PA 17257-8219
501 E Main St
Waynesboro, PA 17268-2353
914 W Market St
Autumn House West
York, PA 17403
Phone (717) 845-7214
97 Progress Blvd
Shippensburg, PA 17257-9053
Phone (717) 217-6944
Hospital & facility affiliations
- Wellspan Chambersburg Hospital
- Wellspan Waynesboro Hospital
- Wellspan York Hospital
- Fulton County Medical Center
- Milton S Hershey Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD419346 | PA | MD | Internal Medicine Physician |
| 213878 | NY | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Windber Hospital, Inc. | Past | Accepting new patients | |
| Summit Physician Services | Internal Medicine | Past | Accepting new patients |
| University Group Medical Associates, P.C | Internal Medicine | Past | Accepting new patients |
Locations
338 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 218-5103
22 St Paul Dr
Chambersburg, PA 17201
Phone (717) 217-6020
112 N 7th St
Chambersburg, PA 17201
Phone (717) 217-4300
22 St Paul Dr
Ste 201
Chambersburg, PA 17201
Phone (717) 217-6955
46 Walnut Bottom Rd
Shippensburg, PA 17257
Phone (717) 477-2764
97 Progress Blvd
Shippensburg, PA 17257
Phone (717) 217-6800
501 E Main St
Waynesboro, PA 17268
Phone (717) 765-3400
501 E Main St
Fl 2
Waynesboro, PA 17268
601 E Main St
Waynesboro, PA 17268
Phone (717) 765-5085
601 Memory Ln
York, PA 17402
Phone (717) 851-6670
1600 S George St
York, PA 17403
Phone (717) 848-3615
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
Interoperability endpoints
- sislam226451@wellspan.direct-ci.com
Organizations & group practices 14
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.
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Internal Medicine
Hospital & facility affiliations 13
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631059200000",
"number": "1477577526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "785 5TH AVE STE 3",
"city": "CHAMBERSBURG",
"state": "PA",
"postal_code": "172014232",
"telephone_number": "717-263-9555",
"fax_number": "717-709-6529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 ST PAUL DR STE 201",
"city": "CHAMBERSBURG",
"state": "PA",
"postal_code": "17201",
"telephone_number": "717-217-6955",
"fax_number": "717-217-6955"
}
],
"practiceLocations": [
{
"address_1": "97 Progress Blvd",
"address_purpose": "LOCATION",
"city": "Shippensburg",
"state": "PA",
"postal_code": "172579053",
"country_code": "US",
"telephone_number": "717-217-6944",
"fax_number": "717-217-6955",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "338 Alexander Spring Rd",
"address_purpose": "LOCATION",
"city": "Carlisle",
"state": "PA",
"postal_code": "170159129",
"country_code": "US",
"telephone_number": "717-218-5103",
"fax_number": "717-303-3729",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "501 E Main St Fl 2",
"address_purpose": "LOCATION",
"city": "Waynesboro",
"state": "PA",
"postal_code": "172682353",
"country_code": "US",
"telephone_number": "717-217-6944",
"fax_number": "717-217-6955",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ISLAM",
"first_name": "SHAIFUL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2021-09-08",
"certification_date": "2021-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "207UN0901X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, Nuclear Cardiology",
"state": "NY",
"license": "213878",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD419346",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "213878",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "PA",
"license": "MD419346",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02010731",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP #",
"identifier": "867633",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102183950 0001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID GROUP #",
"identifier": "1007307260040",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chambersburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.