Khondker Islam, MD in Decatur, IL - Medicare Gastroenterology

Khondker Islam, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Decatur, Illinois. He graduated from medical school in 1989 and has 36 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Methodist Medical Center Of Illinois and his current practice location is 1730 E Lake Shore Dr, Decatur, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 329-1000.

Khondker Islam is licensed to practice in Illinois (license number 036102111) 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 1568441855.

Contact Information

	Khondker Islam, MD
	1730 E Lake Shore Dr, Decatur, IL 62521-3809
	(217) 329-1000
	Not Available

Map and Direction

Physician's Profile

Full Name	Khondker Islam
Gender	Male
Speciality	Gastroenterology
Experience	36 Years
Location	1730 E Lake Shore Dr, Decatur, Illinois
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:

Khondker Islam graduated from medical school in 1989

NPI Data:

NPI Number: 1568441855
Provider Enumeration Date: 01/13/2006
Last Update Date: 10/02/2024

Medicare PECOS Information:

PECOS PAC ID: 7315977188
Enrollment ID: I20050822000453

Medical Identifiers

Medical identifiers for Khondker Islam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568441855	NPI	-	NPPES
36102111	Medicaid	IL
003133230A	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RG0100X	Internal Medicine - Gastroenterology	24098 (Mississippi)	Secondary
207RG0100X	Internal Medicine - Gastroenterology	036102111 (Illinois)	Primary
207RG0100X	Internal Medicine - Gastroenterology	069489 (Georgia)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Methodist Medical Center Of Illinois	Peoria, IL	Hospital
Proctor Hospital	Peoria, IL	Hospital
Saint Francis Medical Center	Peoria, IL	Hospital
Pekin Memorial Hospital	Pekin, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Methodist Medical Center Of Illinois	1355259714	283

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. Khondker Islam allows following entities to bill medicare on his behalf.

Entity Name	Methodist Medical Center Of Illinois
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982656575 PECOS PAC ID: 1355259714 Enrollment ID: O20031126000494

Entity Name	Hshs Good Shepherd Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053348532 PECOS PAC ID: 9335031061 Enrollment ID: O20040327000037

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. Khondker 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
Khondker Islam, MD 1730 E Lake Shore Dr, Decatur, IL 62521-3809 Ph: (217) 329-1000	Khondker Islam, MD 1730 E Lake Shore Dr, Decatur, IL 62521-3809 Ph: (217) 329-1000

Reviews and Comments

Internal Medicine Doctors in Decatur, IL

Dr. Jeanne Marie Kairouz, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1770 E Lake Shore Dr Ste 105, Decatur, IL 62521 Phone: 217-422-6100
Dr. Stephen R Goetter, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 304 W Hay St, Ste 312, Decatur, IL 62526 Phone: 217-876-5600 Fax: 217-876-5664
Dr. Prameeta Jha, Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2300 N Edward St Ste 3200, Decatur, IL 62526 Phone: 217-876-3660 Fax: 217-876-3665
David W Baumberger, M.D. Gastroenterology Medicare: May Accept Medicare Assignments Practice Location: 304 W Hay St, Ste 312, Decatur, IL 62526 Phone: 217-876-5600 Fax: 217-876-5664
Dr. Ahmad H Ahmad, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1770 E Lake Shore Dr, Suite 201, Decatur, IL 62521 Phone: 217-428-7921 Fax: 217-428-7931
Nadal M Aker, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2300 N Edward St, Suite 2400, Decatur, IL 62526 Phone: 217-876-2400 Fax: 217-876-2405
Omar Mohammad Al-heeti, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 304 W Hay St Ste 212, Decatur, IL 62526 Phone: 217-876-4390 Fax: 217-876-4395

Khondker Islam, MD - Medicare Gastroenterology in Decatur, IL