REZWAN ISLAM (MD) – Medical Oncology Physician, NPI 1154417145

REZWAN ISLAM (MD) is a healthcare provider. based in Weston, Wisconsin. specializing in MEDICAL ONCOLOGY, INTERNAL MEDICINE, HEMATOLOGY/ONCOLOGY. They hold the professional credentials MD. They hold a License No. 41049 (WI). The NPI Number for REZWAN ISLAM (MD) is 1154417145

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
REZWAN ISLAM (MD)
NPI
1154417145
Phone
(715) 847-3017
Address
3501 Cranberry Blvd
Enumeration Date
5 October 2006
Last Update Date
25 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6512327000
Graduation Year
1987 (39 years ago)
PAC ID
0143249037
Group Practice PAC ID
3971407636
Professional Enrollment ID
I20260127003304
Address ID
MN551091126MA1575XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience81
Completeness85
Years active:19State licenses:2Digital endpointsOther names

121 MEDICAL ONCOLOGY in WI

Provider Addresses for REZWAN ISLAM (MD)

  • 3501 Cranberry Blvd

    Weston, WI 54476

    Phone: (715) 847-3017

    Type: Location

  • 1700 UNIVERSITY AVE W FL 6

    SAINT PAUL, MN 551043727

    Phone:

    Type: Mailing

  • 5200 FAIRVIEW BLVD STE 1300

    WYOMING, MN 550928013

    Phone: (651) 982-7980

    Type: Location

  • Marshfield Clinic Marshfield Center, 1000, North Oak Avenue, Marshfield, Wood County, Wisconsin, 54449, United States

    MARSHFIELD, WI 544495777

    Phone:

    Type: Mailing

  • Marshfield Clinic Weston Center, 3501, Cranberry Boulevard, Weston Medical Center, Village of Weston, Marathon County, Wisconsin, 54476, United States

    WESTON, WI 54476

    Phone: (715) 847-3017

    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: 2026-01-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20051121000673IMedical OncologyWITBD
I20260127003304IHematology/OncologyMNTBD

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
99215Established patient office or other outpatient visit, 40-54 minutes364145$0
99214Established patient office or other outpatient visit, 30-39 minutes250193$0
99205New patient office or other outpatient visit, 60-74 minutes5151$0
99204New patient office or other outpatient visit, 45-59 minutes3535$0
99213Established patient office or other outpatient visit, 20-29 minutes3333$0
View full utilization report →

Insurance plans in this area (ZIP 54476)

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Provider's Procedures

REZWAN ISLAM (MD) performs procedures in MEDICAL ONCOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
MEDICAL ONCOLOGYWI96375Injection of different drug or substance into a vein for therapy, diagnosis, or prevention83252
MEDICAL ONCOLOGYWI96415Infusion of chemotherapy into a vein9021

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: 3971407636View full group profile

Reviews

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Frequently asked questions

How do payers reference REZWAN ISLAM (MD)?
For REZWAN ISLAM (MD), use NPI 1154417145 as the unique 10-digit identifier.
Would REZWAN ISLAM (MD) appear as active to a payer?
You can treat REZWAN ISLAM (MD) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is REZWAN ISLAM (MD)?
REZWAN ISLAM (MD) is associated with Medical Oncology Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Wisconsin is REZWAN ISLAM (MD) registered?
Use Weston, Wisconsin as the headline location for REZWAN ISLAM (MD) here.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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