YASMEEN M ISLAM M.D. PA
NPI 1407837784
Obstetrics & Gynecology in Port Charlotte, FL

Active since November 14, 2005PECOS EnrolledAccepts Medicare Assignment
3400 TAMIAMI TRL, SUITE 102, PORT CHARLOTTE, FL 33952(941) 625-5855(941) 625-7123 Get Directions Write a Review

NPPES record last updated: June 29, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Yasmeen M Islam M.d. Pa NPPES

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

YASMEEN M ISLAM M.D. PA (NPI 1407837784) is an individual obstetrics & gynecology provider in Port Charlotte, Florida, licensed in Florida (FLME78276) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS and is a graduate of University Of South Florida College Of Medicine (1995).

NPPES Registry Identity

NPI1407837784
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameYASMEEN M ISLAMCredential: M.D. PA
Location Address3400 TAMIAMI TRL, SUITE 102Port Charlotte, FL 33952-8102
Mailing Address3400 Tamiami Trl, Suite 102Port Charlotte, FL 33952-8102 · (941) 625-5855 · Fax (941) 625-7123
Fax(941) 625-7123
Sole ProprietorNo
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 1995
Enumeration DateNovember 14, 2005
Last NPPES UpdateJune 29, 2022
✔ NPI 1407837784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in FL · FLME78276
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
3400 TAMIAMI TRL, Port Charlotte, FL 33952

Other Identifiers 3

Medicaid263441400FL
Other49858FL · Blue Cross
OtherK9957FL · Medicare Group

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

Yasmeen M Islam M.d. Pa 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 ID8022021237
PECOS Enrollment IDI20161031001731
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Yasmeen Islam reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Health Maintenance Organization
4647 ZION AVE
San Diego, CA 92120
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 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 33952 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

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

Counselor (Mental Health)
3400 TAMIAMI TRL, SUITE 204
PORT CHARLOTTE, FL 33952
Counselor (Mental Health)
3400 TAMIAMI TRL, SUITE 204
PORT CHARLOTTE, FL 33952
Internal Medicine
3400 TAMIAMI TRL, SUITE 104
PORT CHARLOTTE, FL 33952
Massage Therapist
3400 TAMIAMI TRL
PORT CHARLOTTE, FL 33952
Chiropractor
3400 TAMIAMI TRL, SUITE 103
PORT CHARLOTTE, FL 33952
Internal Medicine
3400 TAMIAMI TRL, SUITE 104
PORT CHARLOTTE, FL 33952
Allergy & Immunology
3400 TAMIAMI TRL, STE 201
PORT CHARLOTTE, FL 33952
Allergy & Immunology
3400 TAMIAMI TRL, SUITE 201
PORT CHARLOTTE, FL 33952

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 Yasmeen Islam's NPI number?

The NPI number for Yasmeen Islam is 1407837784. It was assigned to this individual provider in the NPPES registry on November 14, 2005.

Where is Yasmeen Islam located?

Yasmeen Islam practices at 3400 Tamiami Trl Suite 102, Port Charlotte, FL 33952. The listed phone number is (941) 625-5855.

What is Yasmeen Islam's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Yasmeen Islam enrolled in Medicare?

Yes. Yasmeen 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 organizations bill Medicare for Yasmeen Islam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Yasmeen Islam reassigns Medicare benefits to 2 organizations: Southern California Permanente Medical Group (San Diego, CA) and Permanente Medical Group Inc (Stockton, CA). Each 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 Yasmeen 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 Yasmeen Islam was last updated on June 29, 2022. 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.