MR. SAMIUL J ISLAM PA-C
NPI 1922506294
Physician Assistant in Albuquerque, NM

Active since January 31, 2018PECOS EnrolledAccepts Medicare Assignment
3101 MENAUL BLVD NE STE B, ALBUQUERQUE, NM 87107(505) 842-5151 Get Directions Write a Review

NPPES record last updated: November 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 18, 2022, Aug 16, 2018 (2 updates tracked since 2018).

About Mr. Samiul J Islam Pa-c NPPES

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

MR. SAMIUL J ISLAM PA-C (NPI 1922506294) is an individual physician assistant in Albuquerque, New Mexico, licensed in New Mexico (PA2018-0027) and active in the NPI registry since January 2018. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1922506294
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. SAMIUL J ISLAMCredential: PA-C
Location Address3101 MENAUL BLVD NE STE BAlbuquerque, NM 87107-1872
Mailing Address3101 Menaul Blvd Ne Ste BAlbuquerque, NM 87107-1872 · (505) 842-5151
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 31, 2018
Last NPPES UpdateNovember 18, 20222 updates tracked since enumeration
NPPES CertifiedNovember 18, 2022
NPI 1922506294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NM · PA2018-0027
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3101 MENAUL BLVD NE STE B, Albuquerque, NM 87107

Secondary Practice Locations 2

Location 11841 Belle Isle BlvdOklahoma City, OK 73118-4228 · Phone (405) 241-5027
Location 26701 Jefferson St NEAlbuquerque, NM 87109 · Phone (505) 727-6200 · Fax (505) 727-9590

Other Identifiers 1

Medicaid44984227NM

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. Samiul J 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 ID446507438
PECOS Enrollment IDI20180723001000
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 87107 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
2 suppliers13 claims1,835 services$1.56 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 3

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

Physical Therapy Assistant
3101 MENAUL BLVD NE STE B
ALBUQUERQUE, NM 87107
Physician Assistant
3101 MENAUL BLVD NE STE B
ALBUQUERQUE, NM 87107
Physical Therapist
3101 MENAUL BLVD NE STE B
ALBUQUERQUE, NM 87107

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 Samiul Islam's NPI number?

The NPI number for Samiul Islam is 1922506294. It was assigned to this individual provider in the NPPES registry on January 31, 2018.

Where is Samiul Islam located?

Samiul Islam practices at 3101 Menaul Blvd NE Ste B, Albuquerque, NM 87107. The listed phone number is (505) 842-5151.

What is Samiul Islam's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Samiul Islam enrolled in Medicare?

Yes. Samiul 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 Samiul Islam was last updated on November 18, 2022. 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.