Shahruma Islam, NURSE PRACTITIONER - Medicare Registered Nurse in New Hyde Park, NY

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Shahruma Islam, NURSE PRACTITIONER is a medicare enrolled "Registered Nurse" in New Hyde Park, New York. Her current practice location is 600 5th Ave, New Hyde Park, New York. You can reach out to her office (for appointments etc.) via phone at (847) 305-0810.

Shahruma Islam is licensed to practice in New York (license number 727884) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1942874771.

Contact Information

Shahruma Islam, NURSE PRACTITIONER
600 5th Ave,
New Hyde Park, NY 11040-5450
(847) 305-0810
Not Available

Map and Direction




Provider's Profile

Full NameShahruma Islam
GenderFemale
SpecialityRegistered Nurse
Location600 5th Ave, New Hyde Park, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1942874771
  • Provider Enumeration Date: 05/17/2021
  • Last Update Date: 10/08/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3577956366
  • Enrollment ID: I20220129000125

Medical Identifiers

Medical identifiers for Shahruma Islam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942874771NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 727884 (New York)Primary
363LP0808XNurse Practitioner - Psychiatric/mental Health 403742 (New York)Secondary

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. Shahruma Islam allows following entities to bill medicare on her behalf.
Entity NameGood Health Psychiatric Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215213806
PECOS PAC ID: 2365789674
Enrollment ID: O20190124001983
Entity NameRudoy Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497218762
PECOS PAC ID: 1759615008
Enrollment ID: O20190620002170
Entity NameEast Point Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518571751
PECOS PAC ID: 0749690741
Enrollment ID: O20201103000809
Entity NameClearview Np In Psychiatry Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124807169
PECOS PAC ID: 4688026115
Enrollment ID: O20240119001620

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. Shahruma 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 AddressPractice Location Address
Shahruma Islam, NURSE PRACTITIONER
600 5th Ave,
New Hyde Park, NY 11040-5450

Ph: (847) 305-0810		Shahruma Islam, NURSE PRACTITIONER
600 5th Ave,
New Hyde Park, NY 11040-5450

Ph: (847) 305-0810

Reviews and Comments


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Peggy Estime Roberts,
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.