Individual provider Active NPI

Muhammad H Ul Islam, M.D

  • Family Medicine Physician
  • Wentzville, MO
National Provider Identifier
1861752685
Registry record updated Sep 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2018033162 Issued in MO
Practice address
1032 Crosswinds CT
Wentzville, MO 63385-4836
Phone
(888) 403-1071
NPI assigned
May 26, 2012
Last updated
Sep 12, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036137199 IL
Family Medicine Physician 207Q00000X 2018033162 MO Primary

Addresses

Primary practice location

1032 Crosswinds CT
Wentzville, MO 63385-4836

Mailing address

904 Medical Park Dr
Suite 3
Effingham, IL 62401-2193
Phone (217) 540-2350

Other practice location 1

904 Medical Park Dr
Suite 3
Effingham, IL 62401-2193
Phone (217) 540-2350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151008002806 IL Practitioner - Family Practice 8224342936 Reassigns benefits to 2 organizations
I20180925001118 MO Practitioner - Family Practice 8224342936 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Compass Health IncGroup PAC ID 1951206754, 317 clinicians
Tauc Il PCGroup PAC ID 3173060282, 17 clinicians
Aging Well Health Care, LLCGroup PAC ID 1153232038, 236 clinicians
Total Access Urgent Care PCGroup PAC ID 8820171929, 130 clinicians

Practice addresses (Care Compare)

1032 Crosswinds CT
Wentzville, MO 63385-4836
Phone (888) 403-1071

1103 Central Park Dr
O Fallon, IL 62269-1770
Phone (618) 215-5703

1800 Community
Clinton, MO 64735-8804
Phone (888) 403-1071

400 Beltline Rd
Collinsville, IL 62234-4405
Phone (618) 215-5703

7212 Balson Ave
Saint Louis, MO 63130-3001

9556 Manchester Rd
Saint Louis, MO 63119-1313
Phone (314) 961-2255

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
42.87 of 100Reported as group
Quality
31.86
Promoting interoperability
0
Improvement activities
40
Cost
61.04

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Health, Inc CurrentSince Sep 17, 2018 Accepting new patients
Tauc Il, PC CurrentSince Sep 3, 2024 Accepting new patients
Compass Health, Inc CurrentSince Sep 17, 2018 Accepting new patients
Total Access Urgent Care, PC Family Medicine CurrentSince May 27, 2021 Accepting new patients
Total Access Urgent Care, PC CurrentSince May 27, 2021 Accepting new patients
HSHS Medical Group Inc Past Accepting new patients

Locations

400 Belt Line Rd
Collinsville, IL 62234
Phone (618) 215-5703

404 Belt Line Rd
Collinsville, IL 62234
Phone (618) 215-5703

1103 Central Park Dr
O Fallon, IL 62269
Phone (618) 215-5703

1800 Community
#B
Clinton, MO 64735

102 Compass Point Dr
Saint Charles, MO 63301
Phone (636) 332-8318

3785 New Town Blvd
Saint Charles, MO 63301
Phone (636) 669-2332

9556 Manchester Rd
Saint Louis, MO 63119
Phone (314) 373-5740

8075 Mexico Rd
Saint Peters, MO 63376
Phone (573) 234-5258

101 Progress Pkwy
Sullivan, MO 63080
Phone (573) 468-3555

91 Troy Sq
Troy, MO 63379

1780 Old Highway 50 E
Ste 111
Union, MO 63084
Phone (636) 584-0305

19515 Brune Pkwy
Warrenton, MO 63383
Phone (636) 235-4049

1717 Madison Ave
Washington, MO 63090
Phone (636) 244-6950

1032 Crosswinds Ct
Wentzville, MO 63385
Phone (636) 332-6000

13861 Manchester Rd
Wildwood, MO 63011
Phone (636) 220-9333

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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": "1337990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1861752685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 MEDICAL PARK DR",
            "address_2": "SUITE 3",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624012193",
            "telephone_number": "217-540-2350",
            "fax_number": "217-347-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032 CROSSWINDS CT",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633854836",
            "telephone_number": "888-403-1071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "904 Medical Park Dr",
            "address_2": "Suite 3",
            "address_purpose": "LOCATION",
            "city": "Effingham",
            "state": "IL",
            "postal_code": "624012193",
            "country_code": "US",
            "telephone_number": "217-540-2350",
            "fax_number": "217-347-2323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UL ISLAM",
        "first_name": "MUHAMMAD",
        "middle_name": "H",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-26",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036137199",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2018033162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wentzville, MO

Sources for this page

Verify at the official NPI Registry.