Mohammad Islam, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

038143 Issued in CT

Practice address

107 Newtown Rd
2C
Danbury, CT 06810-4146

Phone

(203) 791-9661

Fax

(203) 730-4165

NPI assigned

Jun 16, 2005

Reactivated

Apr 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Sohel Islam Other name

Medicare fee-for-service enrollment

Enrolled in CT

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

Plastic and Reconstructive SurgeryAlso: Hand Surgery

Education

JS Weill Medical College, Cornell University, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Specialty Care, P.C.Group PAC ID 2567353121, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Constellation Home Care Hospice, Norwalk, CT, CCN 071542
• Danbury Hospital Hospital, Danbury, CT, CCN 070033

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: sohel.islammd.p1@direct.asc.nextgenshare.com

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.

• Advanced Specialty Care, P.C.

  • Otolaryngology Physician
  • Danbury, CT
  • NPI 1053340943

  Plastic Surgery

  Medicare reassignment Care Compare group NPD
• Advanced Audiology & Hearing Aid Services

  • Audiologist
  • Danbury, CT
  • NPI 1861677031
  NPD (past)

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

• Constellation Home Care LLC

  • Community Based Hospice Care Agency
  • Orange, CT
  • NPI 1417239088
  Care Compare affiliation
• Danbury Hospital

  • Dental Clinic/Center
  • Danbury, CT
  • NPI 1003835935

  Hospital

  Care Compare affiliation
• Danbury Hospital

  • General Acute Care Hospital
  • Danbury, CT
  • NPI 1548293343
  Care Compare affiliation

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519862400000",
    "number": "1811992878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 NEWTOWN RD",
            "address_2": "2C",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104146",
            "telephone_number": "203-791-9661",
            "fax_number": "203-730-4165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 NEWTOWN RD",
            "address_2": "2C",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104146",
            "telephone_number": "203-791-9661",
            "fax_number": "203-730-4165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISLAM",
        "first_name": "MOHAMMAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2018-03-01",
        "deactivation_date": "2006-03-31",
        "reactivation_date": "2006-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CT",
            "license": "038143",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CT",
            "license": "038143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001381433",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOHEL",
            "last_name": "ISLAM",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Integrated Health & Wellness LLC
• Integrated Medical of Danbury, LLC
• Christopher Ioannucci, OTR
• Faria Iqbal, PHARMD
• Huma Irshad, MD
• Muhammad Hamad Islam, M.D.
• Tylynn Ith
• Amy Ivanovic, MD
• John Iwasaki, DDS
• Clarissa Jacknow

• Plastic Surgery Physician in Danbury, CT
• Providers in Danbury, CT by specialty
• Plastic Surgery Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2018; 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.