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MR. SAMEEN ISLAM PA-C
NPI 1386375061
Student in an Organized Health Care Education/Training Program in New Haven, CT

Active since June 22, 2022PECOS EnrolledAccepts Medicare Assignment
100 CHURCH ST S, NEW HAVEN, CT 06519(844) 433-9253 Get Directions Write a Review

NPPES record last updated: June 22, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Sameen Islam Pa-c NPPES

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

MR. SAMEEN ISLAM PA-C (NPI 1386375061) is an individual student in an organized health care education/training program in New Haven, Connecticut and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1386375061
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. SAMEEN ISLAMCredential: PA-C
Location Address100 CHURCH ST SNew Haven, CT 06519-1703
Mailing Address100 Church St S Ste A230New Haven, CT 06519-1703
Phone(844) 433-9253
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJune 22, 2022
NPPES CertifiedJune 22, 2022
✔ NPI 1386375061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

100 CHURCH ST S, New Haven, CT 06519
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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 and accepts Medicare assignment

Mr. Sameen Islam Pa-c 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 ID9537530670
PECOS Enrollment IDI20230127000240
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 10

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

MICHELLE L TELFER CNM
Advanced Practice Midwife
100 CHURCH ST S, RM 242
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 737-5700
DR. SHELLEY YERGER HAWKINS DSN, APRN-BC, FAANP
Nurse Practitioner (Family)
100 CHURCH ST S, #271
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (205) 999-9029
MS. YVONNE M LINDEMANN LMFT
Marriage & Family Therapist
100 CHURCH ST S
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 737-5437
MAYRI SAGADY LESLIE CNM
Advanced Practice Midwife
100 CHURCH ST S
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (619) 743-4989
MS. MARIANNE TERISA STONE C.N.M.
Midwife
100 CHURCH ST S, POB 9740
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 785-2555
MR. JIM A VANRHEE PA-C
Physician Assistant (Medical)
100 CHURCH ST S, SUITE A250
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 737-2099
KEVIN MUGNO PA-C
Physician Assistant
100 CHURCH ST S
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 785-2860
ADRIENNE PAIGE HEARRELL PA-C, MPH, CPTA
Physician Assistant
100 CHURCH ST S
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (785) 640-9638

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 Sameen Islam's NPI number?

The NPI number for Sameen Islam is 1386375061. It was assigned to this individual provider in the NPPES registry on June 22, 2022.

Where is Sameen Islam located?

Sameen Islam practices at 100 Church St S, New Haven, CT 06519. The listed phone number is (844) 433-9253.

What is Sameen Islam's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Sameen Islam enrolled in Medicare?

Yes. Sameen 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 Sameen Islam was last updated on June 22, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.