DR. MIRZA SALEEM-UL ISLAM M.D., M.P.H.
NPI 1023109014
Surgery - Pediatric Surgery in Gainesville, FL

Q: What is Mirza Islam's NPI number?

The NPI number for Mirza Islam is 1023109014. It was assigned to this individual provider in the NPPES registry on September 27, 2006. The provider is also known as Saleem Islam M.D., M.P.H..

Q: What is Mirza Islam's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Q: When was this NPI record last updated?

The NPPES record for Mirza Islam was last updated on April 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 27, 2006PECOS Enrolled

1600 SW ARCHER RD, #100119, GAINESVILLE, FL 32610(352) 392-3718(352) 392-9081 Get Directions Write a Review

NPPES record last updated: April 6, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Mirza Saleem-ul Islam M.d., M.p.h. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MIRZA SALEEM-UL ISLAM M.D., M.P.H. (NPI 1023109014) is an individual pediatric surgery provider in Gainesville, Florida, licensed in Florida (ME98674) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023109014

Entity TypeIndividualMale

Primary Taxonomy2086S0120X

Provider Legal NameDR. MIRZA SALEEM-UL ISLAMCredential: M.D., M.P.H.

Location Address1600 SW ARCHER RD, #100119Gainesville, FL 32610-0119

Mailing AddressPo Box 100119Gainesville, FL 32610-0119

Phone(352) 392-3718

Fax(352) 392-9081

Sole ProprietorNo

Enumeration DateSeptember 27, 2006

Last NPPES UpdateApril 6, 2017

✔ NPI 1023109014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0120X

License✔ Licensed in FL · ME98674

Definition

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

1600 SW ARCHER RD, Gainesville, FL 32610

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Other Names 1

Other Name (5)Saleem Islam M.d., M.p.h.

Other Identifiers 2

Medicare UPINAC364ZFL

Medicaid277490900FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mirza Saleem-ul Islam M.d., M.p.h. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BAHAREH EBADIFAR KEITH DO

Pediatrics

1600 SW ARCHER RD
GAINESVILLE, FL 32610

Alachua County (352) 273-0462

AFRASYAB KHAN

Surgery

1600 SW ARCHER RD
GAINESVILLE, FL 32610

Alachua County (352) 265-0680

GULSUN ERDAG MD

Pathology (Anatomic Pathology & Clinical Pathology)

1600 SW ARCHER RD
GAINESVILLE, FL 32610

Alachua County (352) 265-9900

DR. ALBERT H. MATTIA D.D.S.

Dentist (Prosthodontics)

1600 SW ARCHER RD, D4-4
GAINESVILLE, FL 32610

Alachua County (352) 273-5801

JOANNA CHAFFIN

Pathology (Anatomic Pathology & Clinical Pathology)

1600 SW ARCHER RD
GAINESVILLE, FL 32610

Alachua County (352) 627-9272

DR. CASEY JUSTIN BEAL MD

Ophthalmology

1600 SW ARCHER RD, BOX 100284
GAINESVILLE, FL 32610

Alachua County (352) 273-8778

WILLIAM CRAIG HICKS CRNA

Nurse Anesthetist, Certified Registered

1600 SW ARCHER RD
GAINESVILLE, FL 32610

Alachua County (352) 273-6438

HENRY FONTILLAS PATALINGHUG CRNA

Nurse Anesthetist, Certified Registered

1600 SW ARCHER RD
GAINESVILLE, FL 32610

Alachua County (352) 273-6438

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mirza Islam's NPI number?

The NPI number for Mirza Islam is 1023109014. It was assigned to this individual provider in the NPPES registry on September 27, 2006. The provider is also known as Saleem Islam M.D., M.P.H..

Where is Mirza Islam located?

Mirza Islam practices at 1600 SW Archer Rd #100119, Gainesville, FL 32610. The listed phone number is (352) 392-3718.

What is Mirza Islam's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Mirza Islam enrolled in Medicare?

Yes. Mirza Islam is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mirza Islam was last updated on April 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.