DR. MOHAMMED NADIMUL ISLAM (D.D.S, B.D.S) – Oral and Maxillofacial Pathology Dentistry, NPI 1477750263

DR. MOHAMMED NADIMUL ISLAM (D.D.S, B.D.S) is a healthcare provider. based in Gainesville, Florida. specializing in ORAL SURGERY. They hold the professional credentials D.D.S, B.D.S. They hold a License No. 12011554A (IN). The NPI Number for DR. MOHAMMED NADIMUL ISLAM (D.D.S, B.D.S) is 1477750263

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. MOHAMMED NADIMUL ISLAM (D.D.S, B.D.S)
NPI
1477750263
Phone
(503) 906-7300
Address
3620 NW 43rd St Ste A
Enumeration Date
27 June 2007
Last Update Date
28 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2010 (16 years ago)
PAC ID
7113108010
Group Practice PAC ID
4981707460
Professional Enrollment ID
I20120925000089
Address ID
FL326100425GA1600XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:18State licenses:1Digital endpointsOther names

96 ORAL SURGERY in FL

Provider Addresses for DR. MOHAMMED NADIMUL ISLAM (D.D.S, B.D.S)

  • 3620 NW 43rd St Ste A

    Gainesville, FL 326068100

    Phone: (503) 906-7300

    Fax: (503) 245-8219

    Type: Location

  • 1111 SW 16TH AVENUE APT 49

    PARK 16TH TOWN HOUSES

    GAINESVILLE, FL 326018497

    Phone: (352) 262-7857

    Fax: (352) 294-5311

    Type: Mailing

  • 9750 SW NIMBUS AVE

    BEAVERTON, OR 970087172

    Phone: (503) 906-7300

    Fax: (503) 245-8219

    Type: Mailing

  • Center Drive, Gainesville, Alachua County, Florida, 32610, United States

    RM D8-6C

    GAINESVILLE, FL 326100405

    Phone: (352) 294-5711

    Fax: (352) 294-5310

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2012-09-25

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
I20120925000089IOral SurgeryFLTBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity1,028935$0
88350Antibody evaluation, each additional single antibody stain procedure29372$0
88304Pathology examination of tissue using a microscope, moderately low complexity130129$0
88346Antibody evaluation, initial single antibody stain procedure7371$0
88311Preparation of tissue for examination by removing any calcium present4643$0
View full utilization report →

Insurance plans in this area (ZIP 32606)

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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: 4981707460View full group profile
NameSpecialtyState
Oral Surgery, DentistFL
-FL
Oral SurgeryFL
Oral And Maxillofacial Pathology, Oral SurgeryFL
Oral SurgeryFL
Oral And Maxillofacial PathologyFL
Oral Surgery, Oral And Maxillofacial PathologyFL
-FL
Oral SurgeryFL
-FL

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Frequently asked questions

What identifier follows DR. MOHAMMED NADIMUL ISLAM (D.D.S, B.D.S) across health systems?
The NPI 1477750263 uniquely identifies DR. MOHAMMED NADIMUL ISLAM (D.D.S, B.D.S) in U.S. healthcare data.
Quick check: is DR. MOHAMMED NADIMUL ISLAM (D.D.S, B.D.S) active?
Public NPPES data shows DR. MOHAMMED NADIMUL ISLAM (D.D.S, B.D.S) with an active NPI status right now.
What does the directory say DR. MOHAMMED NADIMUL ISLAM (D.D.S, B.D.S) does?
Insurance directories may phrase it differently, but here DR. MOHAMMED NADIMUL ISLAM (D.D.S, B.D.S) maps to Oral and Maxillofacial Pathology Dentistry. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. MOHAMMED NADIMUL ISLAM (D.D.S, B.D.S)?
DR. MOHAMMED NADIMUL ISLAM (D.D.S, B.D.S) shows a connection to Gainesville, Florida in registry-derived data.
Who maintains DR. MOHAMMED NADIMUL ISLAM (D.D.S, B.D.S)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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