MOHAMMAD ISLAM – Pulmonary Disease Physician, NPI 1003268095

MOHAMMAD ISLAM is a healthcare provider. based in Newark, Ohio. specializing in PULMONARY DISEASE. They hold a License No. 35.145446 (OH). The NPI Number for MOHAMMAD ISLAM is 1003268095

Main info

Male
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
MOHAMMAD ISLAM
NPI
1003268095
Phone
(220) 564-4027
Address
1320 W MAIN ST
Enumeration Date
1 July 2016
Last Update Date
9 December 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2205641778
Graduation Year
2011 (15 years ago)
PAC ID
2860785144
Group Practice PAC ID
6204740731
Professional Enrollment ID
I20220629002248
Address ID
OH430552058NE1272XSTXX401

Contacts

Secure Messaging
mislam29161@lickingmemorial.medicity.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness85
Years active:9State licenses:1Other namesUpdated within 12 months

1,186 PULMONARY DISEASE in TX

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Provider Addresses for MOHAMMAD ISLAM

  • 1320 W MAIN ST

    NEWARK, OH 430551822

    Phone: (220) 564-4027

    Type: Mailing

  • 6240 WOODWARD ST APT 221

    AMARILLO, TX 791061917

    Phone: (806) 513-9133

    Type: Mailing

  • 1400, Coulter Street, Amarillo, Potter County, Texas, 79106, United States

    AMARILLO, TX 791061786

    Phone: (806) 513-9133

    Type: Location

  • 1272 W MAIN ST STE 503

    NEWARK, OH 430552058

    Phone: (220) 564-1805

    Fax: (220) 564-1806

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $131.

Total Amount is formed as General ($131) + Research ($0) + Ownership ($0) = $131.

Last reported payment date: 2024-10-07 • Largest payer in this snapshot: Medtronic, Inc. ($98).

Total Amount

$131

General + Research + Ownership

Payments

3

Total payment records

General Amount

$131

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-07

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-06-29

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
I20220629002248IPulmonary DiseaseOHTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes184112$0
94729Test to examine how well the lungs exchange gases8685$0
94726Test to determine lung volumes using sensors7877$0
94060Test to measure expiratory airflow and volume changes before and after medication administration7676$0
99204New patient office or other outpatient visit, 45-59 minutes6060$0
View full utilization report →

Insurance plans in this area (ZIP 43055)

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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: 6204740731View full group profile
NameSpecialtyState
-OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
Nurse PractitionerOH
U R O L O G YOH
-OH
O B S T E T R I C S/ G Y N E C O L O G YOH
Emergency MedicineOH
Certified Nurse Midwife (Cnm)OH
Pain ManagementOH

Reviews

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Frequently asked questions

Is there an official ID for MOHAMMAD ISLAM in U.S. healthcare records?
The official identifier for MOHAMMAD ISLAM is NPI 1003268095.
Is MOHAMMAD ISLAM shown as active in public data?
Registry records indicate MOHAMMAD ISLAM maintains an active NPI.
What expertise is attributed to MOHAMMAD ISLAM?
MOHAMMAD ISLAM's specialty line reads Pulmonary Disease Physician. Clinical services aligned with this taxonomy classification.
Is MOHAMMAD ISLAM associated with Newark?
Public fields place MOHAMMAD ISLAM around Newark, Ohio. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for MOHAMMAD ISLAM is noted as July 1, 2016 where the registry provides it.

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