Individual provider Active NPI

Andrew Shafik Islam, MD, MS

  • Orthopaedic Surgery Physician
  • Cincinnati, OH
National Provider Identifier
1487869806
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
35093372 Issued in OH
Practice address
8311 Montgomery Road
Cincinnati, OH 45263-4418
Phone
(513) 354-3700
Fax
(513) 745-0409
NPI assigned
May 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 35093372 OH Primary

Addresses

Primary practice location

8311 Montgomery Road
Cincinnati, OH 45263-4418

Mailing address

6480 Harrison Ave Ste 201
Cincinnati, OH 45247-7961
Phone (513) 354-7650

Other practice location 1

7423 S Mason Montgomery Rd Ste A
Mason, OH 45040-7828
Phone (513) 354-3700

Other identifiers 2

IdentifierTypeStateIssuer
200986890MedicaidIN
3045770MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20100810000235 OH Practitioner - Orthopedic Surgery 3375677560 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oxford Physical Therapy and RehabilitationGroup PAC ID 0244232874, 432 clinicians
Beacon Orthopaedics and Sports Medicine LTDGroup PAC ID 0345136412, 471 clinicians

Practice addresses (Care Compare)

7567 Central Parke Blvd
Mason, OH 45040-6852

8311 Montgomery Rd
Cincinnati, OH 45236-2227
Phone (513) 354-3700

Hospital & facility affiliations

  • American Mercy Home Care, LLC Home health agency, Cincinnati, OH, CCN 367167
  • Good Samaritan Hospital Hospital, Cincinnati, OH, CCN 360134
  • Bethesda North Hospital, Cincinnati, OH, CCN 360179
  • Christ Hospital Hospital, Cincinnati, OH, CCN 360163
  • The Jewish Hospital-Mercy Health Hospital, Cincinnati, OH, CCN 360016
  • McCullough-Hyde Memorial Hospital Hospital, Oxford, OH, CCN 360046

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)12
Upper limb (arm) arthroscopy (minimally invasive joint repair)69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35093372OHMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth G LLC Orthopaedic Surgery CurrentSince Jan 1, 2016 Accepting new patients
Trihealth G, LLC CurrentSince Jan 1, 2016 Accepting new patients
Beacon Orthopaedics & Sports Medicine, LTD CurrentSince Oct 1, 2021 Accepting new patients
Beacon Orthopaedics & Sports Medicine LTD Orthopaedic Surgery CurrentSince Oct 1, 2021 Accepting new patients

Locations

2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200

9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750

8311 Montgomery Rd
Cincinnati, OH 45236
Phone (513) 246-2300

6480 Harrison Ave
Ste 201
Cincinnati, OH 45247
Phone (513) 354-7650

6480 Harrison Ave
Cincinnati, OH 45247
Phone (513) 251-7827

1275 N High St
Hillsboro, OH 45133
Phone (937) 393-5503

7423 S Mason Montgomery Rd
Ste A
Mason, OH 45040

10547 Montgomery Rd
Ste 400
Montgomery, OH 45242
Phone (513) 982-6077

4600 Smith Rd
Ste B
Norwood, OH 45212
Phone (513) 221-4848

Interoperability endpoints

  • Direct secure messaging: andrew.islam.p1@direct.beaconortho.nextgenshare.com
  • Direct secure messaging: aislam32856@direct.trihealth.com
  • Direct secure messaging: andrew.islam.p2@direct.beaconortho.nextgenshare.com

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 10

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": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1487869806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6480 HARRISON AVE STE 201",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452477961",
            "telephone_number": "513-354-7650",
            "fax_number": "513-246-2391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8311 MONTGOMERY ROAD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452634418",
            "telephone_number": "513-354-3700",
            "fax_number": "513-745-0409"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7423 S Mason Montgomery Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Mason",
            "state": "OH",
            "postal_code": "450407828",
            "country_code": "US",
            "telephone_number": "513-354-3700",
            "fax_number": "513-754-2014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISLAM",
        "first_name": "ANDREW",
        "middle_name": "SHAFIK",
        "name_prefix": "Dr.",
        "credential": "MD, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "35093372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200986890",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3045770",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.