Syed Muhammad Shan Ul Islam, MD in La Porte, IN

Syed Muhammad Shan Ul Islam, MD is a medicare enrolled "Internal Medicine" physician in La Porte, Indiana. He graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Houston Hospitalist Group Llc, Cogent Healthcare Of Georgia Pc, Allatoona Physician Services Pc and his current practice location is 1331 State St, La Porte, Indiana. You can reach out to his office (for appointments etc.) via phone at (219) 326-1775.

Syed Muhammad Shan Ul Islam is licensed to practice in Indiana (license number 01070169A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1487742896.

Contact Information

	Syed Muhammad Shan Ul Islam, MD
	1331 State St, La Porte, IN 46350-3112
	(219) 326-1775
	(219) 326-1951

Map and Direction

Physician's Profile

Full Name	Syed Muhammad Shan Ul Islam
Gender	Male
Speciality	Internal Medicine
Experience	24 Years
Location	1331 State St, La Porte, Indiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Syed Muhammad Shan Ul Islam graduated from medical school in 2000

NPI Data:

NPI Number: 1487742896
Provider Enumeration Date: 10/11/2006
Last Update Date: 12/13/2021

Medicare PECOS Information:

PECOS PAC ID: 2769587948
Enrollment ID: I20211228001731

Medical Identifiers

Medical identifiers for Syed Muhammad Shan Ul Islam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487742896	NPI	-	NPPES
05388729	Medicaid	MS
M400055273	Other	IN	MEDICARE PTAN
151020025	Other	IN	MEDICARE PTAN
P01003687	Other	IN	RAILROAD MEDICARE PTAN
201034600	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	19490 (Mississippi)	Secondary
207R00000X	Internal Medicine	01070169A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Cartersville Medical Center	Cartersville, GA	Hospital
Houston Medical Center	Warner robins, GA	Hospital
Coliseum Medical Centers, Llc, Dba	Macon, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Houston Hospitalist Group Llc	2769813906	41
Cogent Healthcare Of Georgia Pc	2961483607	231
Allatoona Physician Services Pc	7517342579	29

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Syed Muhammad Shan Ul Islam allows following entities to bill medicare on his behalf.

Entity Name	Cogent Healthcare Of Georgia Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609827823 PECOS PAC ID: 2961483607 Enrollment ID: O20040527000856

Entity Name	Houston Hospitalist Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962040147 PECOS PAC ID: 2769813906 Enrollment ID: O20200504000786

Entity Name	Allatoona Physician Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497482350 PECOS PAC ID: 7517342579 Enrollment ID: O20220913000203

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Syed Muhammad Shan Ul Islam is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Syed Muhammad Shan Ul Islam, MD 2022 Kelle Dr, Chesterton, IN 46304-8708 Ph: (219) 364-4004	Syed Muhammad Shan Ul Islam, MD 1331 State St, La Porte, IN 46350-3112 Ph: (219) 326-1775

Reviews and Comments

Internal Medicine Doctors in La Porte, IN

Andleeb S Bangash, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 Lincolnway Ste 302, La Porte, IN 46350 Phone: 219-324-0014 Fax: 219-324-0025
David B Hough, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 7002 W Johnson Rd, La Porte, IN 46350 Phone: 219-325-0604 Fax: 219-879-1401
India Joy Weems-murphy, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1007 Lincolnway, La Porte, IN 46350 Phone: 219-326-1234
Nadeem U Kamran, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1007 Lincolnway, La Porte, IN 46350 Phone: 219-325-5474 Fax: 219-325-5456
Dr. Husam Baki, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1331 State St, La Porte, IN 46350 Phone: 219-326-1234
Mr. David J Gorecki, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 Lincolnway, Suite 310, La Porte, IN 46350 Phone: 219-362-7506 Fax: 219-362-1459
Joseph R Arulandu, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7002 W Johnson Rd, La Porte, IN 46350 Phone: 219-325-0604 Fax: 219-879-1401

Syed Muhammad Shan Ul Islam, MD - Medicare Internal Medicine in La Porte, IN