Active NPI
Sumaiya Islam
- Internal Medicine Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 56798
- Practice address
- 1111 E McDowell Rd
Phoenix, AZ 85006-2612 - Phone
- (602) 839-3644
- NPI assigned
- Apr 13, 2015
- Last updated
- Jun 8, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 56798 | AZ | Primary |
Addresses
Primary practice location
1111 E McDowell Rd
Phoenix, AZ 85006-2612
Mailing address
1111 E McDowell Rd
Phoenix, AZ 85006-2612
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Michigan State University College of Human Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
325 8TH Ave
Salt Lake City, UT 84143-0001
Phone (801) 408-3617
5121 S Cottonwood St
Murray, UT 84107-5701
5131 S Cottonwood St
Murray, UT 84107-5701
Phone (801) 507-3888
700 S Hwy 99
Suite 3
Fillmore, UT 84631-5137
Phone (801) 357-4600
8 TH Ave and C St
Salt Lake City, UT 84143-0001
Phone (801) 408-1100
9660 S 1300
Sandy, UT 84094-3762
Phone (801) 501-2600
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.53 of 100
- Quality
- 78.73
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 62.46
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56798 | AZ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Single Specialty | Current | Accepting new patients |
| Banner - University Hospital Based Physicians LLC | Single Specialty | Current | Accepting new patients |
| Banner - University Hospital Based Physicians LLC | Single Specialty | Current | Accepting new patients |
| Ihc Health Services Inc | Single Specialty | Current | Accepting new patients |
| Banner - University Medical Center Phoenix | Past | Accepting new patients |
Locations
1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
8th Ave And C St
Salt Lake City, UT 84143
Phone (801) 350-4110
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1750751566
Single Specialty
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1538879481
Single Specialty
-
dba Intermountain Cardiac Imaging
- Body Imaging Physician
- Salt Lake City, UT
- NPI 1174713978
Single Specialty
-
dba St George Adolescent Partial Hospitalization
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1841224870
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Intermountain Health Alta View Hospital
- General Acute Care Hospital
- Sandy, UT
- NPI 1962412486
-
dba Intermountain Health Intermountain Medical Center
- General Acute Care Hospital
- Murray, UT
- NPI 1043220650
-
dba Intermountain Health LDS Hospital
- General Acute Care Hospital
- Salt Lake City, UT
- NPI 1528078581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591574400000",
"number": "1700272192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 E MCDOWELL RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850062612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 E MCDOWELL RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850062612",
"telephone_number": "602-839-3644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISLAM",
"first_name": "SUMAIYA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-13",
"last_updated": "2020-06-08",
"certification_date": "2020-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "AZ",
"license": "56798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; 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.