NPIMap

Individual provider Active NPI

Sumbul Islam, M.D.

  • Internal Medicine Physician
  • Sherman, TX
National Provider Identifier
1992898860
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
R4240 Issued in TX
Practice address
600 E Taylor St Ste 3011
Sherman, TX 75090-2850
Phone
(903) 957-0417
Fax
(903) 957-0242
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R4240 TX Primary

Addresses

Primary practice location

600 E Taylor St Ste 3011
Sherman, TX 75090-2850

Mailing address

600 E Taylor St Ste 3011
Sherman, TX 75090-2850
Phone (903) 957-0417

Other identifiers 1

IdentifierTypeStateIssuer
3753980-03MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170911000125 TX Practitioner - Internal Medicine 1759355589 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Visiting Doctors, PLLCGroup PAC ID 8820348808, 2 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

1700 N Travis St
Sherman, TX 75092-3764
Phone (903) 957-0417

5701 Virginia Pkwy
McKinney, TX 75071-5652
Phone (214) 592-0212

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
003251MOMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sherman Grayson Hospital LLC Current Accepting new patients
Center for Arthritis and Rheumatic Diseases Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sumbulislam@wnjrmc.allscriptsdirect.net

Organizations & group practices 4

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.

Hospital & facility affiliations 8

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1992898860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E TAYLOR ST STE 3011",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750902850",
            "telephone_number": "903-957-0417",
            "fax_number": "903-957-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E TAYLOR ST STE 3011",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750902850",
            "telephone_number": "903-957-0417",
            "fax_number": "903-957-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISLAM",
        "first_name": "SUMBUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "R4240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3753980-03",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, TX

Sources for this page

Verify at the official NPI Registry.