Active NPI
Muhammad H Ul Islam, M.D
- Family Medicine Physician
- Wentzville, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2018033162
- Practice address
- 1032 Crosswinds CT
Wentzville, MO 63385-4836 - Phone
- (888) 403-1071
- NPI assigned
- May 26, 2012
- Last updated
- Sep 12, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MO
- 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
- Family Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compass Health, Inc | Current | Accepting new patients | |
| Tauc Il, PC | Current | Accepting new patients | |
| Compass Health, Inc | Current | Accepting new patients | |
| Total Access Urgent Care, PC | Family Medicine | Current | Accepting new patients |
| Total Access Urgent Care, PC | Current | 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.
-
dba Compass Health Network
- Community/Behavioral Health Agency
- Clinton, MO
- NPI 1285619494
-
dba Total Access Urgent Care
- Urgent Care Clinic/Center
- Saint Louis, MO
- NPI 1962684886
-
dba WellNow Urgent Care
- Urgent Care Clinic/Center
- Liverpool, NY
- NPI 1669825162
IL
-
- Home Health Agency
- Saint Louis, MO
- NPI 1215936588
-
- Federally Qualified Health Center (FQHC)
- Rolla, MO
- NPI 1558258632
-
dba Total Access Urgent Care
- Urgent Care Clinic/Center
- Saint Louis, MO
- NPI 1952729402
Family Medicine
-
- Rural Health Clinic/Center
- Rushville, IL
- NPI 1487719480
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba SSM Health St Joseph Hospital - Lake Saint Louis
- General Acute Care Hospital
- Lake St Louis, MO
- NPI 1871665380
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.