DR. MOHAMMAD ISLAM (M.D.) – Plastic Surgery Physician, NPI 1811992878

DR. MOHAMMAD ISLAM (M.D.) is a healthcare provider. based in Danbury, Connecticut. specializing in PLASTIC AND RECONSTRUCTIVE SURGERY, HAND SURGERY. They hold the professional credentials M.D.. They hold a License No. 038143 (CT). The NPI Number for DR. MOHAMMAD ISLAM (M.D.) is 1811992878

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. MOHAMMAD ISLAM (M.D.)
NPI
1811992878
Phone
(203) 791-9661
Address
107 NEWTOWN RD
Enumeration Date
16 June 2005
Deactivation Date
31 March 2006
Reactivation Date
12 April 2006
Last Update Date
1 March 2018

Doctor Profile

Medical School Name
JS WEILL MEDICAL COLLEGE, CORNELL UNIVERSITY
Secondary Phone
2038304700
Graduation Year
1991 (35 years ago)
PAC ID
8426183013
Group Practice PAC ID
2567353121
Professional Enrollment ID
I20100325000148
Address ID
CT068104151DA107XXRDXX307
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

106 PLASTIC AND RECONSTRUCTIVE SURGERY in CT

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Provider Addresses for DR. MOHAMMAD ISLAM (M.D.)

  • 107, Newtown Road, Beaverbrook, Danbury, Fairfield County, Connecticut, 06810, United States

    2C

    DANBURY, CT 068104146

    Phone: (203) 791-9661

    Fax: (203) 730-4165

    Type: Mailing

  • Newtown Road, Danbury, Fairfield County, Connecticut, 06801, United States

    2C

    DANBURY, CT 068104146

    Phone: (203) 791-9661

    Fax: (203) 730-4165

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 35 Open Payments records for all available years, with a total value of $757.

Total Amount is formed as General ($757) + Research ($0) + Ownership ($0) = $757.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Endo USA, Inc. ($125).

Total Amount

$757

General + Research + Ownership

Payments

35

Total payment records

General Amount

$757

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-03-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100325000148IPlastic And Reconstructive SurgeryCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99204New patient office or other outpatient visit, 45-59 minutes8787$0
99203New patient office or other outpatient visit, 30-44 minutes6969$0
99213Established patient office or other outpatient visit, 20-29 minutes6555$0
99214Established patient office or other outpatient visit, 30-39 minutes6555$0
20550Injection into tendon or ligament3222$0
View full utilization report →

Insurance plans in this area (ZIP 06810)

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Provider's Procedures

DR. MOHAMMAD ISLAM (M.D.) performs procedures in PLASTIC AND RECONSTRUCTIVE SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PLASTIC AND RECONSTRUCTIVE SURGERYCT13132Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet1312

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2567353121View full group profile
NameSpecialtyState
Plastic And Reconstructive SurgeryCT
O T O L A R Y N G O L O G YCT
O T O L A R Y N G O L O G YCT
D E R M A T O L O G YCT
O T O L A R Y N G O L O G YCT
A L L E R G Y/ I M M U N O L O G YLA
D E R M A T O L O G YCT
O T O L A R Y N G O L O G YCT
A L L E R G Y/ I M M U N O L O G YCT
-CT

Reviews

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Frequently asked questions

What federal number belongs to DR. MOHAMMAD ISLAM (M.D.)?
The federal identifier for DR. MOHAMMAD ISLAM (M.D.) is NPI 1811992878.
Is DR. MOHAMMAD ISLAM (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does DR. MOHAMMAD ISLAM (M.D.) treat or focus on?
Patients typically see DR. MOHAMMAD ISLAM (M.D.) under the specialty Plastic Surgery Physician. Clinical services aligned with this taxonomy classification.
Where is DR. MOHAMMAD ISLAM (M.D.)'s primary listing?
We display Danbury, Connecticut because that is what the record indicates for DR. MOHAMMAD ISLAM (M.D.).
Is DR. MOHAMMAD ISLAM (M.D.) a real provider?
This page reflects official NPPES data for NPI 1811992878. Always confirm identity and privileges with the practice and licensing boards.

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