DR. ISLAM TAFISH (M.D.) – Critical Care Medicine (Internal Medicine) Physician, NPI 1629175526
Critical Care Medicine (Internal Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
83 NEUROPSYCHIATRY in FL
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Provider Addresses for DR. ISLAM TAFISH (M.D.)
1665, Kingsley Avenue, Orange Park, Clay County, Florida, 32073, United States
SUITE 107
ORANGE PARK, FL 320734490
Phone: (904) 272-9981
Fax: (904) 272-9982
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $17.
Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.
Last reported payment date: 2023-01-19 • Largest payer in this snapshot: Balt USA, LLC ($17).
Total Amount
$17
General + Research + Ownership
Payments
1
Total payment records
General Amount
$17
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-01-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Balt USA, LLC | $17 |
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: 2023-12-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210325001390 | I | Neuropsychiatry | OH | TBD |
| I20210618000451 | I | Neurology | IL | TBD |
| I20231208003340 | I | Neurology | OK | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32073)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Rheumatology, Internal Medicine | OH | |
| Sleep Medicine | OH | |
| Nurse Practitioner | OH | |
| Hematology/Oncology, Internal Medicine | OH | |
| N E U R O L O G Y | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Radiation Oncology | NY | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology) | MO | |
| Nurse Practitioner | OH |
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