DR. JANINE COLES ISLAM (M.D.) – Physical Medicine & Rehabilitation Physician, NPI 1336146794

DR. JANINE COLES ISLAM (M.D.) is a healthcare provider. based in Tyler, Texas. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials M.D.. They hold a License No. M5241 (TX). The NPI Number for DR. JANINE COLES ISLAM (M.D.) is 1336146794

Main info

Female
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. JANINE COLES ISLAM (M.D.)
NPI
1336146794
Phone
(903) 526-5000
Address
4295 KINSEY DR
Enumeration Date
30 June 2005
Last Update Date
8 January 2013

Doctor Profile

Medical School Name
TULANE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2812726277
Graduation Year
1990 (36 years ago)
PAC ID
5395758494
Group Practice PAC ID
7012975527
Professional Enrollment ID
I20090327000517
Address ID
TX773385235HU1717XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

863 PHYSICAL MEDICINE AND REHABILITATION in TX

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Provider Addresses for DR. JANINE COLES ISLAM (M.D.)

  • Kinsey Drive, Tyler, Smith County, Texas, 75703, United States

    TYLER, TX 757031004

    Phone: (903) 526-5000

    Fax: (903) 526-5006

    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)

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: 2009-03-27

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
I20090327000517IPhysical Medicine And RehabilitationTXTBD

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
74230Imaging for evaluation of swallowing function559520$0
72040X-ray of upper spine, 2-3 views534501$0
74240Single contrast x-ray of upper digestive tract532500$0
70100X-ray of part of lower jaw, 1-4 views484465$0
99204New patient office or other outpatient visit, 45-59 minutes385385$0
View full utilization report →

Insurance plans in this area (ZIP 75703)

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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: 7012975527View full group profile
NameSpecialtyState
Family PracticeTX
Emergency Medicine, Diagnostic RadiologyTX
Family PracticeTX
Family Practice, Emergency MedicineTX
Internal MedicineTX
O B S T E T R I C S/ G Y N E C O L O G YTX
Pediatric MedicineTX
Internal MedicineMI
General Practice, Nuclear MedicineTX
Family PracticeTX

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Frequently asked questions

Can I cross-check DR. JANINE COLES ISLAM (M.D.) using NPI 1336146794?
NPI 1336146794 belongs to DR. JANINE COLES ISLAM (M.D.); compare other details if you need extra assurance.
Is DR. JANINE COLES ISLAM (M.D.) shown as active in public data?
Registry records indicate DR. JANINE COLES ISLAM (M.D.) maintains an active NPI.
What expertise is attributed to DR. JANINE COLES ISLAM (M.D.)?
DR. JANINE COLES ISLAM (M.D.)'s specialty line reads Physical Medicine & Rehabilitation Physician. Clinical services aligned with this taxonomy classification.
Is DR. JANINE COLES ISLAM (M.D.) located near Tyler?
DR. JANINE COLES ISLAM (M.D.) currently maps to Tyler, Texas in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.