PRIOTY ISLAM MD
NPI 1386039402
Internal Medicine in Concord, NC

Active since April 06, 2015PECOS EnrolledAccepts Medicare Assignment
93.54/100
CMS Quality Rating
100 MEDICAL PARK DR, STE 110, CONCORD, NC 28025(704) 403-1370 Get Directions Write a Review

NPPES record last updated: September 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 27, 2021, Sep 15, 2021, Sep 9, 2021 (3 updates tracked since 2021).

About Prioty Islam Md NPPES

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

PRIOTY ISLAM MD (NPI 1386039402) is an individual internal medicine provider in Concord, North Carolina, licensed in North Carolina (2021-01043) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1386039402
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NamePRIOTY ISLAMCredential: MD
Location Address100 MEDICAL PARK DR, STE 110Concord, NC 28025-2948
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 6, 2015
Last NPPES UpdateSeptember 27, 20213 updates tracked since enumeration
NPI 1386039402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NC · 2021-01043
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
100 MEDICAL PARK DR, Concord, NC 28025

Secondary Practice Locations 4

Location 1945 N 5th StAlbemarle, NC 28001-3417 · Phone (980) 323-7790
Location 21021 Morehead Medical Dr, Ste ACharlotte, NC 28204-2990 · Phone (980) 442-2000
Location 34525 Cameron Valley Pkwy, Ste 3500Charlotte, NC 28211-4369 · Phone (704) 302-8300
Location 41550 Faulk StMonroe, NC 28112-5086 · Phone (980) 442-0430

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

Prioty 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 ID6103228267
PECOS Enrollment IDI20230127000443
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 7

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
275 services174 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
153 services31 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
113 services76 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
54 services54 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
51 services45 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
48 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28025 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

93.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.8
Improvement Activities40

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.

Internal Medicine (Cardiovascular Disease)
100 MEDICAL PARK DR, STE 210
CONCORD, NC 28025
Internal Medicine (Hematology & Oncology)
100 MEDICAL PARK DR, STE 110, NORTHEAST ONCOLOGY ASSOCIATES
CONCORD, NC 28025
Internal Medicine
100 MEDICAL PARK DR, STE 110
CONCORD, NC 28025
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
100 MEDICAL PARK DR, STE 210
CONCORD, NC 28025
Nurse Practitioner
100 MEDICAL PARK DR, STE 110
CONCORD, NC 28025
Pediatrics (Pediatric Cardiology)
100 MEDICAL PARK DR, STE 310
CONCORD, NC 28025
Physician Assistant
100 MEDICAL PARK DR, STE 210
CONCORD, NC 28025
Pediatrics
100 MEDICAL PARK DR, STE 310
CONCORD, NC 28025

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 Prioty Islam's NPI number?

The NPI number for Prioty Islam is 1386039402. It was assigned to this individual provider in the NPPES registry on April 6, 2015.

Where is Prioty Islam located?

Prioty Islam practices at 100 Medical Park Dr Ste 110, Concord, NC 28025. The listed phone number is (704) 403-1370.

What is Prioty Islam's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Prioty Islam enrolled in Medicare?

Yes. Prioty 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.

When was this NPI record last updated?

The NPPES record for Prioty Islam was last updated on September 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.