Islam A Shahin, M.D.

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

N5390 Issued in TX

Practice address

1750 N Hampton Rd
Desoto, TX 75115-2306

Phone

(214) 420-5460

Fax

(214) 946-4399

NPI assigned

Apr 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Diagnostic RadiologyAlso: Interventional Radiology

Education

Rutgers School of Dental Medicine, 2000

Medicare assignment

May accept Medicare assignment

Group practices

Radiology Associates of North Texas PAGroup PAC ID 7911897301, 340 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Methodist Dallas Medical Center Hospital, Dallas, TX, CCN 450051
• Methodist Midlothian Medical Center Hospital, Midlothian, TX, CCN 670300

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
• FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

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.

• Radiology Associates of North Texas PA

  • Diagnostic Radiology Physician
  • Fort Worth, TX
  • NPI 1710970975
  Medicare reassignment Care Compare group
• Methodist-Cdi

  • Diagnostic Radiology Physician
  • Plano, TX
  • NPI 1164829214
  Medicare reassignment NPD
• Methodist-Cdi

  • Diagnostic Radiology Physician
  • Desoto, TX
  • NPI 1255738357
  NPD
• Methodist-Cdi

  • Diagnostic Radiology Physician
  • Mansfield, TX
  • NPI 1841742038
  NPD
• Radiology Associates of North Texas PA

  • Diagnostic Radiology Physician
  • Fort Worth, TX
  • NPI 1316006513
  NPD
• Columbia/Newyork-Presbyterian Advanced Imaging Inc.

  • Specialist
  • New York, NY
  • NPI 1356171797
  NPD (past)
• Trustees of Columbia University in the City of New York

  • Diagnostic Radiology Physician
  • New York, NY
  • NPI 1043328354
  NPD (past)
• Trustees of Columbia University in the City of New York

  • Diagnostic Radiology Physician
  • New York, NY
  • NPI 1467560854
  NPD (past)
• Trustees of Columbia University in the City of New York

  • Vascular & Interventional Radiology Physician
  • New York, NY
  • NPI 1992816011
  NPD (past)

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

• Methodist Hospitals of Dallas

  • General Acute Care Hospital
  • Midlothian, TX
  • NPI 1487271375
  Care Compare affiliation
• Methodist Hospitals of Dallas

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1528027786
  Care Compare affiliation

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361145600000",
    "number": "1720042070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 N HAMPTON RD",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152306",
            "telephone_number": "214-420-5460",
            "fax_number": "214-946-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 N HAMPTON RD",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152306",
            "telephone_number": "214-420-5460",
            "fax_number": "214-946-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHIN",
        "first_name": "ISLAM",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2013-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "TX",
            "license": "N5390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Elizabeth Secerovic, NP
• Serenity Staffing, Inc
• SGC Dental LLC
• Shafiey Dental Group PLLC
• Alexander Shafiey, DMD
• Brittney Shaw
• Latricia Lanell Shaw, LCSW
• Korie Lynne Sheets, ATC,LAT
• Shepherd Specialty Pharmacy LLC
• Brenda Gay Shepherd, R.N.

• Vascular & Interventional Radiology Physician in Desoto, TX
• Providers in Desoto, TX by specialty
• Vascular & Interventional Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2013; 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.

Verify at the official NPI Registry.