MD MAHBUBUL ISLAM M.D.
NPI 1285758276
Family Medicine in Hollis, NY
About Md Mahbubul Islam M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MD MAHBUBUL ISLAM M.D. (NPI 1285758276) is an individual family medicine provider in Hollis, New York, licensed in New York (243430) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1979).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Md Mahbubul Islam M.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show Md Islam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bronx, NY 10452
- Reassigned Medicare billing, New York enrollment
- 683 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11423 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Md Islam's NPI number?
The NPI number for Md Islam is 1285758276. It was assigned to this individual provider in the NPPES registry on March 17, 2007.
Where is Md Islam located?
Md Islam practices at 8786 188th St, Hollis, NY 11423. The listed phone number is (718) 480-6882.
What is Md Islam's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Md Islam enrolled in Medicare?
Yes. Md 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.
Which organization bills Medicare for Md Islam's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Md Islam reassigns Medicare benefits to Sun River Health Inc (Bronx, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Md Islam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Md Islam was last updated on October 29, 2016. 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.
# Md Mahbubul Islam, M.D. · NPI 1285758276
Family Medicine physician in Hollis, New York. Individual provider, active in the CMS NPPES registry since March 17, 2007.
## Identity
- **NPI:** 1285758276 (Entity type: Individual)
- **Enumerated:** March 17, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 243430 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 8786 188TH ST, Hollis, NY 11423-1131
- **Phone:** (718) 480-6882 · **Fax:** (718) 454-5353
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Sun River Health Inc (NPI 1740763275, Bronx, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1979
## Record status
- **NPPES last updated:** October 29, 2016
- **Other identifiers:** Medicaid 02866613 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1285758276) · Data from the CMS NPPES public registry.