Sadeq K M Islam, MD in Providence, RI

Sadeq K M Islam, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Providence, Rhode Island. His current practice location is 101 Dudley St, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 274-1100.

Sadeq K M Islam is licensed to practice in Rhode Island (license number MD19652) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1952894560.

Contact Information

	Sadeq K M Islam, MD
	101 Dudley St, Providence, RI 02905-2401
	(401) 274-1100
	Not Available

Map and Direction

Physician's Profile

Full Name	Sadeq K M Islam
Gender	Male
Speciality	Pathology - Anatomic Pathology & Clinical Pathology
Location	101 Dudley St, Providence, Rhode Island
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952894560
Provider Enumeration Date: 06/08/2018
Last Update Date: 07/31/2025

Medicare PECOS Information:

PECOS PAC ID: 5193072247
Enrollment ID: I20240313003539

Medical Identifiers

Medical identifiers for Sadeq K M Islam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952894560	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	MD19652 (Rhode Island)	Primary

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. Sadeq K M Islam allows following entities to bill medicare on his behalf.

Entity Name	Women & Infants Hospital Of Rhode Island
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447233788 PECOS PAC ID: 3274434626 Enrollment ID: O20040728000608

Entity Name	Kent County Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386643294 PECOS PAC ID: 2668377078 Enrollment ID: O20071001000617

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. Sadeq K M 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
Sadeq K M Islam, MD 455 Toll Gate Rd, Prc And Credentialing, Warwick, RI 02886-2759 Ph: (401) 273-0641	Sadeq K M Islam, MD 101 Dudley St, Providence, RI 02905-2401 Ph: (401) 274-1100

Reviews and Comments

Pathology Doctors in Providence, RI

Dr. Ga Hie Nam, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-5057 Fax: 401-444-8514
N Peter Libbey, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 825 Chalkstone Ave, Roger Williams Medical Center/pathology Dept., Providence, RI 02908 Phone: 401-456-2162 Fax: 401-456-2131
Sara Maleki, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Apc 12, Providence, RI 02903 Phone: 401-444-8515 Fax: 401-444-8514
Mirfrida Geller, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-8450 Fax: 401-444-5088
Dr. Lisa Goldstein, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, Department Of Pathology, Providence, RI 02906 Phone: 401-793-4246 Fax: 401-274-5154
Dr. Gladys Telang, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Apc 10, Providence, RI 02903 Phone: 401-444-7959 Fax: 401-444-7144
Xin He, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-4923

Sadeq K M Islam, MD - Medicare Pathology in Providence, RI