RAFIUL SAMEER ISLAM MD
NPI 1043473820
Internal Medicine - Gastroenterology in Lubbock, TX

Active since July 02, 2008PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
4505 82ND ST STE 5, LUBBOCK, TX 79424(806) 696-4440(806) 696-4441 Get Directions Write a Review

NPPES record last updated: January 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 14, 2021, Jan 25, 2019 (2 updates tracked since 2019).

About Rafiul Sameer Islam Md NPPES

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

RAFIUL SAMEER ISLAM MD (NPI 1043473820) is an individual gastroenterology provider in Lubbock, Texas, licensed in Texas (N7811) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Covenant Medical Center, and is a graduate of Texas Tech University Health Science Center School Of Medicine (2008).

NPPES Registry Identity

NPI1043473820
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameRAFIUL SAMEER ISLAMCredential: MD
Location Address4505 82ND ST STE 5Lubbock, TX 79424-3219
Mailing Address4505 82nd St Ste 5Lubbock, TX 79424-3219 · (806) 696-4440 · Fax (806) 696-4441
Fax(806) 696-4441
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2008
Enumeration DateJuly 2, 2008
Last NPPES UpdateJanuary 14, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2021
NPI 1043473820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in TX · N7811
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
4505 82ND ST STE 5, Lubbock, TX 79424

Other Identifiers 1

Medicaid670489AZ

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Rafiul Sameer Islam Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698953495
PECOS Enrollment IDI20110816000813
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.

Areas of Expertise CMS Part B claims 19

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
301 services268 patients
Removal of external hemorrhoids by rubber banding 46221
Rubber band ligation is a procedure used to treat external hemorrhoids. A doctor places small rubber bands around the base of the hemorrhoids. This cuts off blood supply, causing them to shrink and fall off, typically within a week.
284 services128 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
202 services202 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
144 services144 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
136 services136 patients
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249
This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.
116 services107 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Covenant Medical Center

Acute Care Hospitals · Lubbock, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450040
Location3615 19th StreetLubbock, TX 79410 · Lubbock County
Emergency services

Medical Arts Hospital

Acute Care Hospitals · Lamesa, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450489
Location2200 N Bryan AveLamesa, TX 79331 · Dawson County
Emergency services

University Medical Center

Acute Care Hospitals · Lubbock, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450686
Location602 Indiana AvenueLubbock, TX 79415 · Lubbock County
Emergency services Birthing friendly

Lubbock Heart Hospital LP

Acute Care Hospitals · Lubbock, TX
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450876
Location4810 North Loop 289Lubbock, TX 79416 · Lubbock County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79424 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality91.19
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

Behavior Analyst
4505 82ND ST STE 5
LUBBOCK, TX 79424
Internal Medicine (Gastroenterology)
4505 82ND ST STE 5
LUBBOCK, TX 79424
Nurse Practitioner
4505 82ND ST STE 5
LUBBOCK, TX 79424
Nurse Practitioner (Family)
4505 82ND ST STE 5
LUBBOCK, TX 79424
Nurse Practitioner (Family)
4505 82ND ST STE 5
LUBBOCK, TX 79424

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 Rafiul Islam's NPI number?

The NPI number for Rafiul Islam is 1043473820. It was assigned to this individual provider in the NPPES registry on July 2, 2008.

Where is Rafiul Islam located?

Rafiul Islam practices at 4505 82nd St Ste 5, Lubbock, TX 79424. The listed phone number is (806) 696-4440.

What is Rafiul Islam's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Rafiul Islam enrolled in Medicare?

Yes. Rafiul Islam is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Rafiul Islam accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Rafiul Islam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Rafiul Islam affiliated with any hospitals?

According to CMS data, Rafiul Islam is affiliated with Covenant Medical Center, Medical Arts Hospital, University Medical Center and Lubbock Heart Hospital LP.

When was this NPI record last updated?

The NPPES record for Rafiul Islam was last updated on January 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.