DR. SHAMIM M ISLAM MD
NPI 1871687590
Pediatrics in Buffalo, NY

Q: What is Shamim Islam's NPI number?

The NPI number for Shamim Islam is 1871687590. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Q: What is Shamim Islam's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Shamim Islam was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.

Active since October 03, 2006PECOS EnrolledAccepts Medicare Assignment

1001 MAIN ST FL 4, BUFFALO, NY 14203(716) 323-0150(716) 323-0296 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Aug 13, 2025, Jan 13, 2021 (3 updates tracked since 2021).

On this page

About Dr. Shamim M Islam Md NPPES

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

DR. SHAMIM M ISLAM MD (NPI 1871687590) is an individual pediatrics provider in Buffalo, New York, licensed in New York (277439) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Boise, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1871687590

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. SHAMIM M ISLAMCredential: MD

Location Address1001 MAIN ST FL 4Buffalo, NY 14203-1009

Mailing Address1001 Main St Fl 5Buffalo, NY 14203-1009 · (716) 323-0150 · Fax (716) 323-0296

Phone(716) 323-0150

Fax(716) 323-0296

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateOctober 3, 2006

Last NPPES UpdateSeptember 11, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 11, 2025

✔ NPI 1871687590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in NY · 277439✔ Licensed in CA · A86834

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedPediatrics · Pediatric Infectious DiseasesTaxonomy 2080P0208X · License 1971464 (ID)

Secondary Practice Location 1

Location 1305 E Jefferson StBoise, ID 83712-6231 · Phone (208) 381-7330 · Fax (208) 381-7331

Other Identifiers 1

Medicaid03999497NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.Insurance ›

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

Dr. Shamim M 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 ID6709818719

PECOS Enrollment IDI20250828003790

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14203 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

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.

DR. MONA BONANNO M.D.

Pediatrics