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MUHAMMAD H UL ISLAM M.D
NPI 1861752685
Family Medicine in Wentzville, MO

Active since May 26, 2012PECOS EnrolledAccepts Medicare Assignment
54.72/100
CMS Quality Rating
1032 CROSSWINDS CT, WENTZVILLE, MO 63385(888) 403-1071 Get Directions Write a Review

NPPES record last updated: September 12, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 12, 2018, Nov 10, 2016, Oct 18, 2016 and 1 more (4 updates tracked since 2016).

About Muhammad H Ul Islam M.d NPPES

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

MUHAMMAD H UL ISLAM M.D (NPI 1861752685) is an individual family medicine provider in Wentzville, Missouri, licensed in Missouri (2018033162) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with Ssm St Joseph Hospital West, and maintains a secondary practice location in Effingham.

NPPES Registry Identity

NPI1861752685
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMUHAMMAD H UL ISLAMCredential: M.D
Location Address1032 CROSSWINDS CTWentzville, MO 63385-4836
Mailing Address904 Medical Park Dr, Suite 3Effingham, IL 62401-2193 · (217) 540-2350 · Fax (217) 347-2323
Phone(888) 403-1071
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateMay 26, 2012
Last NPPES UpdateSeptember 12, 20184 updates tracked since enumeration
✔ NPI 1861752685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in MO · 2018033162✔ Licensed in IL · 036137199
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.
1032 CROSSWINDS CT, Wentzville, MO 63385
Open in Google Maps ↗

Secondary Practice Location 1

Location 1904 Medical Park Dr, Suite 3Effingham, IL 62401-2193 · Phone (217) 540-2350 · Fax (217) 347-2323

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health 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

Muhammad H Ul 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 ID8224342936
PECOS Enrollment IDI20151008002806, I20180925001118
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

4

Medicare enrollment records show Muhammad Ul Islam reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Compass Health, Inc.
Same address
Federally Qualified Health Center (FQHC)
1032 CROSSWINDS CT
Wentzville, MO 63385
  • Reassigned Medicare billing, Missouri enrollment
  • 968 clinicians in this Medicare group
NPI 1861618308 (636) 332-8310
Total Access Urgent Care, PC
28 mi
Urgent Care
9556 MANCHESTER RD
Saint Louis, MO 63119
  • Reassigned Medicare billing, Missouri enrollment
  • 111 clinicians in this Medicare group
NPI 1962684886 (314) 961-2255
Tauc Il, PC
46 mi
Urgent Care
400 BELTLINE RD
Collinsville, IL 62234
  • Reassigned Medicare billing, Illinois enrollment
  • 28 clinicians in this Medicare group
NPI 1487401709 (618) 215-5703
Wellnow Urgent Care, PC
818 mi
Urgent Care
7375 OSWEGO RD, SUITE1
Liverpool, NY 13090
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Wellnow Urgent Care, P.C.
  • 195 clinicians in this Medicare group
NPI 1669825162 (716) 699-9032

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

Areas of Expertise CMS Part B claims 11

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.
54 services54 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.
47 services46 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
40 services40 patients
Detection test by nucleic acid for multiple types influenza virus 87502
A detection test by nucleic acid for multiple types of influenza virus is a diagnostic procedure. It identifies the genetic material of the virus in your body. It's highly accurate and can distinguish between different flu strains, helping in prompt and precise treatment.
36 services36 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
35 services35 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
28 services28 patients

Hospital Affiliations CMS Care Compare

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

Ssm St Joseph Hospital West

Acute Care Hospitals · Lake Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260200
Location100 Medical PlazaLake Saint Louis, MO 63367 · St. Charles County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63385 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

54.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality47.43
Promoting Interoperability0
Improvement Activities40
Cost84.97

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.

MARY M CORRIGAN LCSW
Social Worker (Clinical)
1032 CROSSWINDS CT
WENTZVILLE, MO 63385
St. Charles County (888) 403-1071
MICHAEL F MENOLASCINO DDS
Dentist
1032 CROSSWINDS CT
WENTZVILLE, MO 63385
St. Charles County (636) 332-6000
KARA RENEE TETER LCSW
Social Worker (Clinical)
1032 CROSSWINDS CT
WENTZVILLE, MO 63385
St. Charles County (636) 332-6000
LOWELL LAWRENCE FRY JR. LPC, MA
Counselor (Professional)
1032 CROSSWINDS CT
WENTZVILLE, MO 63385
St. Charles County (636) 445-7161
REBECCA KAY WALLACE LPC
Counselor (Professional)
1032 CROSSWINDS CT
WENTZVILLE, MO 63385
St. Charles County (888) 403-1071
TAMMY LEE BROWN RDH
Dental Hygienist
1032 CROSSWINDS CT
WENTZVILLE, MO 63385
St. Charles County (844) 853-8937
MARILYN PARSONS PLPC
Counselor (Mental Health)
1032 CROSSWINDS CT
WENTZVILLE, MO 63385
St. Charles County (844) 853-8937
OLIVIA M JONES NP
Nurse Practitioner (Psychiatric/Mental Health)
1032 CROSSWINDS CT
WENTZVILLE, MO 63385
St. Charles County (636) 332-6000

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 Muhammad Ul Islam's NPI number?

The NPI number for Muhammad Ul Islam is 1861752685. It was assigned to this individual provider in the NPPES registry on May 26, 2012.

Where is Muhammad Ul Islam located?

Muhammad Ul Islam practices at 1032 Crosswinds Ct, Wentzville, MO 63385. The listed phone number is (888) 403-1071.

What is Muhammad Ul Islam's specialty?

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

Is Muhammad Ul Islam enrolled in Medicare?

Yes. Muhammad Ul 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 Muhammad Ul Islam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Muhammad Ul Islam reassigns Medicare benefits to 4 organizations: Compass Health, Inc. (Wentzville, MO), Total Access Urgent Care, PC (Saint Louis, MO), Tauc Il, PC (Collinsville, IL) and Wellnow Urgent Care, PC (Liverpool, NY). 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 Muhammad Ul Islam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Muhammad Ul Islam accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 3 other insurers list Muhammad Ul 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 Muhammad Ul Islam affiliated with any hospitals?

According to CMS data, Muhammad Ul Islam is affiliated with Ssm St Joseph Hospital West.

When was this NPI record last updated?

The NPPES record for Muhammad Ul Islam was last updated on September 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.