Khondker Islam, MD - Medicare Gastroenterology in Decatur, IL

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Khondker Islam, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Decatur, Illinois. He graduated from medical school in 1989 and has 37 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Carle Health Care Incorporated, 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 NameKhondker Islam
GenderMale
SpecialityGastroenterology
Experience37 Years
Location1730 E Lake Shore Dr, Decatur, Illinois
Accepts Medicare AssignmentsYes. 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.
IdentifierTypeStateIssuer
1568441855NPI-NPPES
003133230AMedicaidGA
36102111MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology 24098 (Mississippi)Secondary
207RG0100XInternal Medicine - Gastroenterology 036102111 (Illinois)Primary
207RG0100XInternal Medicine - Gastroenterology 069489 (Georgia)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Carle Health Methodist HospitalPeoria, ILHospital
Carle Health Proctor HospitalPeoria, ILHospital
Carle Health Pekin HospitalPekin, ILHospital
Saint Francis Medical CenterPeoria, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Carle Health Care Incorporated35775157741592
Methodist Medical Center Of Illinois1355259714387

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 NameMethodist Medical Center of Illinois
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982656575
PECOS PAC ID: 1355259714
Enrollment ID: O20031126000494
Entity NameCarle Health Care Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154653947
PECOS PAC ID: 3577515774
Enrollment ID: O20100513000829

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 AddressPractice 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. Huzefa Mustafa Bhopalwala, MD
Gastroenterology
Medicare: May Accept Medicare Assignments
Practice Location: 2300 N Edward St, Decatur, IL 62526
Phone: 217-876-2400    Fax: 217-876-2405
David W Baumberger, M.D.
Gastroenterology
Medicare: Medicare Enrolled
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

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.