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DR. MAHJABEEN ISLAM M.D.
NPI 1770606063
Family Medicine in Maumee, OH

Active since April 09, 2007PECOS EnrolledAccepts Medicare AssignmentCLIA 36D0720976 · Waiver
959 ILLINOIS AVE STE E, MAUMEE, OH 43537(419) 872-0500(419) 874-4650 Get Directions Write a Review

NPPES record last updated: January 24, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 24, 2023, Nov 12, 2020, Sep 23, 2019 and 1 more (4 updates tracked since 2016).

About Dr. Mahjabeen Islam M.d. NPPES

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

DR. MAHJABEEN ISLAM M.D. (NPI 1770606063) is an individual family medicine provider in Maumee, Ohio, licensed in Ohio (35.053406) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through August 31, 2028, and is affiliated with Promedica Toledo Hospital.

NPPES Registry Identity

NPI1770606063
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MAHJABEEN ISLAMCredential: M.D.
Location Address959 ILLINOIS AVE STE EMaumee, OH 43537-1744
Mailing Address959 Illinois Ave Ste EMaumee, OH 43537-1744 · (419) 872-0500 · Fax (419) 874-4650
Phone(419) 872-0500
Fax(419) 874-4650
Sole ProprietorYes
Medical School CMSOtherGraduated 1982
Enumeration DateApril 9, 2007
Last NPPES UpdateJanuary 24, 20234 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2023
✔ NPI 1770606063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 35.053406
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X · License OH053406 (OH)
959 ILLINOIS AVE STE E, Maumee, OH 43537
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Other Names 1

Former Name (1)Dr. Mahjabeen Islam M.d.

Secondary Practice Location 1

Location 11655 Holland Rd Ste FMaumee, OH 43537-1656 · Phone (513) 834-7063 · Fax (513) 873-1567

Other Identifiers 1

Medicaid0696591OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

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

Dr. Mahjabeen 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.

PECOS PAC ID6800840745
PECOS Enrollment IDI20050303000707
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 Reassignment

Medicare enrollment records show Mahjabeen Islam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Talbot Clinical Services Of Ohio LLC
9.7 mi
Family Medicine
732 MAIN ST
Toledo, OH 43605
  • Reassigned Medicare billing, Ohio enrollment
  • Also billed through NPI 1245635549 (Ohio)
  • 31 clinicians in this Medicare group
NPI 1194641811 (419) 691-0600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D0720976

Mahjabeen Islam MD, Faafp, Fasam · Maumee, OH
Active · expires Aug 31, 2028
CLIA Number36D0720976
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorMahjabeen Islam
Laboratory Phone(419) 872-0500
Laboratory LocationMahjabeen Islam MD, Faafp, Fasam959 Illinois Avenue, Suite E Warnock Place, Maumee, OH 43537
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 6

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.
113 services37 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.
102 services44 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
80 services28 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
34 services34 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
28 services11 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360068
Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County
Emergency services Birthing friendly

Mercy St Vincent Medical Center

Acute Care Hospitals · Toledo, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360112
Location2213 Cherry StreetToledo, OH 43608 · Lucas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43537 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$12.45 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier21 claims21 services$58.29 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

MAHJABEEN ISLAM MD, LLC
Family Medicine
959 ILLINOIS AVE STE E
MAUMEE, OH 43537
Lucas County (419) 872-0500

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 Mahjabeen Islam's NPI number?

The NPI number for Mahjabeen Islam is 1770606063. It was assigned to this individual provider in the NPPES registry on April 9, 2007. The provider is also known as Dr. Mahjabeen Islam M.D..

Where is Mahjabeen Islam located?

Mahjabeen Islam practices at 959 Illinois Ave Ste E, Maumee, OH 43537. The listed phone number is (419) 872-0500.

What is Mahjabeen Islam's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mahjabeen Islam enrolled in Medicare?

Yes. Mahjabeen 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 Mahjabeen Islam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mahjabeen Islam reassigns Medicare benefits to Talbot Clinical Services Of Ohio LLC (Toledo, OH). 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 Mahjabeen Islam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Does Mahjabeen Islam hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D0720976) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mahjabeen Islam accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance and 3 other insurers list Mahjabeen Islam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mahjabeen Islam affiliated with any hospitals?

According to CMS data, Mahjabeen Islam is affiliated with Promedica Toledo Hospital and Mercy St Vincent Medical Center.

When was this NPI record last updated?

The NPPES record for Mahjabeen Islam was last updated on January 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.