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MR. IVAN ISLAMAJ PA-C
NPI 1174924963
Physician Assistant - Medical in Miami, FL

Active since September 11, 2014PECOS Enrolled
1150 NW 72ND AVE STE PH-1, MIAMI, FL 33126(216) 502-6577(305) 701-9902 Get Directions Write a Review

NPPES record last updated: June 12, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Ivan Islamaj Pa-c NPPES

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

MR. IVAN ISLAMAJ PA-C (NPI 1174924963) is an individual medical provider in Miami, Florida, licensed in Florida (PA9107915) and active in the NPI registry since September 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1174924963
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. IVAN ISLAMAJCredential: PA-C
Location Address1150 NW 72ND AVE STE PH-1Miami, FL 33126-1936
Mailing Address1150 Nw 72nd Ave Ste Ph-1Miami, FL 33126-1936 · (216) 502-6577 · Fax (305) 701-9902
Phone(216) 502-6577
Fax(305) 701-9902
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateSeptember 11, 2014
Last NPPES UpdateJune 12, 2026
NPPES CertifiedJune 12, 2026
✔ NPI 1174924963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in FL · PA9107915
1150 NW 72ND AVE STE PH-1, Miami, FL 33126
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Ivan Islamaj Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315345998
PECOS Enrollment IDI20251022003096
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 3

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

ICARE MOBILE MEDICINE LLC
Internal Medicine
1150 NW 72ND AVE STE PH-1
MIAMI, FL 33126
Miami-Dade County (786) 661-7830
NICHOLAS SUITE
Psychiatry & Neurology (Neurology)
1150 NW 72ND AVE STE PH-1
MIAMI, FL 33126
Miami-Dade County (305) 701-9901
ICARE MOBILE WOUND CARE VA PLLC
Internal Medicine (Geriatric Medicine)
1150 NW 72ND AVE STE PH-1
MIAMI, FL 33126
Miami-Dade County (305) 701-9901

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 Ivan Islamaj's NPI number?

The NPI number for Ivan Islamaj is 1174924963. It was assigned to this individual provider in the NPPES registry on September 11, 2014.

Where is Ivan Islamaj located?

Ivan Islamaj practices at 1150 NW 72nd Ave Ste Ph-1, Miami, FL 33126. The listed phone number is (216) 502-6577.

What is Ivan Islamaj's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Ivan Islamaj enrolled in Medicare?

Yes. Ivan Islamaj is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ivan Islamaj was last updated on June 12, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.