Dr Islam Mohamed Shatla, MD in Providence, RI

Dr Islam Mohamed Shatla, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Providence, Rhode Island. He graduated from medical school in 2011 and has 14 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Kansas University Physicians Inc and his current practice location is 593 Eddy St, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 793-2695.

Dr Islam Mohamed Shatla is licensed to practice in Rhode Island (license number MD20593) 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 1750943643.

Contact Information

	Dr Islam Mohamed Shatla, MD
	593 Eddy St, Providence, RI 02903-4923
	(401) 793-2695
	(401) 444-4165

Map and Direction

Physician's Profile

Full Name	Dr Islam Mohamed Shatla
Gender	Male
Speciality	Hospitalist
Experience	14 Years
Location	593 Eddy St, Providence, Rhode Island
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:

Dr Islam Mohamed Shatla graduated from medical school in 2011

NPI Data:

NPI Number: 1750943643
Provider Enumeration Date: 07/01/2019
Last Update Date: 07/30/2025

Medicare PECOS Information:

PECOS PAC ID: 5496080160
Enrollment ID: I20220823001129

Medical Identifiers

Medical identifiers for Dr Islam Mohamed Shatla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750943643	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	04-46397 (Kansas)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	2019018926 (Missouri)	Secondary
207RC0000X	Internal Medicine - Cardiovascular Disease	MD20593 (Rhode Island)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Of Kansas Hospital	Kansas city, KS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kansas University Physicians Inc	8921911587	1576

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. Dr Islam Mohamed Shatla allows following entities to bill medicare on his behalf.

Entity Name	Kansas University Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003858333 PECOS PAC ID: 8921911587 Enrollment ID: O20040401000328

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. Dr Islam Mohamed Shatla 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
Dr Islam Mohamed Shatla, MD 593 Eddy St, Providence, RI 02903-4923 Ph: (401) 793-2695	Dr Islam Mohamed Shatla, MD 593 Eddy St, Providence, RI 02903-4923 Ph: (401) 793-2695

Reviews and Comments

Internal Medicine Doctors in Providence, RI

Christopher Donald Palmer, DO Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 101 Dudley St, Providence, RI 02905 Phone: 401-274-1122 Fax: 401-453-7597
Martha Catherine Trimbur, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 245 Chapman St Ste 300, Providence, RI 02905 Phone: 401-444-4741 Fax: 401-444-4445
Karl Herman, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, Fain Bldg., Providence, RI 02906 Phone: 401-793-4489 Fax: 401-793-4047
Muhammad Baig, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, Fain Bldg, Providence, RI 02906 Phone: 401-793-4489 Fax: 401-793-4047
Gary M Katzman, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 208 Collyer Street, Suite 100, Providence, RI 02904 Phone: 401-793-7191 Fax: 401-793-7200
Thomas Fairweather Crain, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, Providence, RI 02906 Phone: 401-793-4630
James Atkinson, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, Providence, RI 02906 Phone: 401-793-4500

Dr Islam Mohamed Shatla, MD - Medicare Hospitalist in Providence, RI