Active NPI
Mohammed Nadimul Islam, D.D.S, B.D.S
- Oral and Maxillofacial Pathology Dentistry
- Gainesville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Pathology Dentistry
- License
- 12011554A
- Practice address
- 1395 Center Dr
RM D8-6C
Gainesville, FL 32610-0405 - Phone
- (352) 294-5711
- Fax
- (352) 294-5310
- NPI assigned
- Jun 27, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Pathology Dentistry | 1223P0106X | 12011554A | IN | Primary |
Addresses
Primary practice location
1395 Center Dr
RM D8-6C
Gainesville, FL 32610-0405
Mailing address
9750 SW Nimbus Ave
Beaverton, OR 97008-7172
Phone (503) 906-7300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Oral and Maxillofacial Pathology
- Education
- Indiana University School of Dentistry, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 SW Archer Rd
Gainesville, FL 32610-3003
Phone (352) 273-5380
1600 SW Archer Rd
PO Box 100425
Gainesville, FL 32610-0425
Merit-based Incentive Payment System (MIPS)
- Final score
- 47.54 of 100
- Quality
- 38.49
- Promoting interoperability
- 0
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Clinical Practice Association Inc | Current | Accepting new patients | |
| Florida Clinical Practice Association Inc | Current | Accepting new patients | |
| Faculty Associates Incorporated | Current | Accepting new patients | |
| Faculty Associates, Inc | Past | Accepting new patients | |
| Curtis T. Thompson, M.D. & Associates, PLLC | Oral and Maxillofacial Pathology | Past | Accepting new patients |
| Cta Oral Pathology Consultants of Michigan, PLLC | Oral and Maxillofacial Pathology | Past | Accepting new patients |
Locations
2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990
1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077
1600 SW Archer Rd
Rm D26
Gainesville, FL 32610
Phone (352) 273-5380
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- mislam84917@direct.shands.ufl.edu
Organizations & group practices 6
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.
-
- Dentist
- Gainesville, FL
- NPI 1255383550
-
- Surgery Physician
- Gainesville, FL
- NPI 1063463768
-
- Durable Medical Equipment & Medical Supplies
- Ocala, FL
- NPI 1609529478
-
- Pediatric Dentistry
- Gainesville, FL
- NPI 1659322014
-
- Oral and Maxillofacial Pathology Dentistry
- Ann Arbor, MI
- NPI 1366244550
-
- Dermatopathology (Pathology) Physician
- Beaverton, OR
- NPI 1861533481
Oral and Maxillofacial Pathology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1477750263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9750 SW NIMBUS AVE",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970087172",
"telephone_number": "503-906-7300",
"fax_number": "503-245-8219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1395 CENTER DR",
"address_2": "RM D8-6C",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326100405",
"telephone_number": "352-294-5711",
"fax_number": "352-294-5310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISLAM",
"first_name": "MOHAMMED",
"middle_name": "NADIMUL",
"name_prefix": "Dr.",
"credential": "D.D.S, B.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-27",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0106X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Pathology",
"state": "IN",
"license": "12011554A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; 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.