Deactivated NPI 1811992878 Deactivated / Inactive NPI Male Practitioner

Dr. Mohammad Islam , MD

Plastic Surgery • Danbury, CT

✓ Accepts Medicare Assignment

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Mohammad Islam has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 16, 2005

NPI Deactivation Date March 31, 2006

Total Practice Duration ~15 Years of Practice (1991 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Mohammad Islam, MD was a registered Plastic Surgery in Danbury, CT. Prior to record deactivation on 2006-03-31, Dr. Islam completed approximately 15 years of clinical practice following graduation from Js Weill Medical College, Cornell University in 1991.

Dr. Islam was affiliated with Advanced Specialty Care, P.C. and accepted Medicare assignment.

Historical Medicare Part B clinical services included new patient outpatient office visit, established patient outpatient office visit, injection into tendon or ligament. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

107 Newtown Rd
2c

Danbury, CT 068104146

Telephone 2037919661

Fax 2037304165

Associated Practice Facility / Clinic

🏢 Allergy & Asthma Assoc., P.c. Facility NPI 1881690717

Medicare Profile & Education

Medical School

Js Weill Medical College, Cornell University

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Danbury, CT

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs +6.7 yrs vs City Avg

City Avg: 28.3 Yrs

State Avg: 31.1 Yrs

Regional Practice Density

4 Specialists

Practicing in Danbury, CT (73 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Islam (35 Years) 35 Yrs

Danbury Specialty Average (28.3 Years) 28.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	104	104	$250.00	$120.90
99213 Established patient office or other outpatient visit, typically 15 minutes	84	65	$175.00	$98.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	74	74	$350.00	$179.30
20550 Injection into tendon or ligament	62	46	$250.00	$57.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	51	$250.00	$138.31
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	42	39	$1520.00	$484.68
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	35	32	$1375.00	$412.85
11644 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 3.1-4.0 cm	33	28	$1250.00	$232.62
11604 Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm	27	22	$1000.00	$170.40
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	21	19	$1300.00	$373.16
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	15	12	$1750.00	$841.70
11624 Removal of malignant growth (3.1 to 4 centimeters) of the scalp, neck, hands, feet, or genitals	15	14	$1075.00	$185.81
11404 Removal of noncancer skin growth of body, arms, or legs, 3.1-4.0 cm	12	11	$750.00	$123.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	87	87	$350.00	$178.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	69	69	$250.00	$120.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	55	$250.00	$137.00
99213 Established patient office or other outpatient visit, typically 15 minutes	65	55	$175.00	$97.01
20550 Injection into tendon or ligament	32	22	$250.00	$57.90
11644 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 3.1-4.0 cm	29	28	$1250.00	$212.21
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	28	28	$1520.00	$499.25
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	23	20	$1375.00	$407.05
11604 Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm	21	15	$1000.00	$170.33
11643 Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips	17	14	$1025.00	$182.39
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	16	15	$1600.00	$544.70
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	13	13	$1300.00	$354.01
29848 Release of wrist ligament using an endoscope	13	11	$2884.62	$605.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	102	102	$250.00	$121.73
99213 Established patient office or other outpatient visit, typically 15 minutes	93	72	$175.00	$98.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	76	76	$350.00	$181.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	71	62	$250.00	$139.29
20550 Injection into tendon or ligament	70	38	$250.00	$54.05
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	27	20	$1330.56	$461.25
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	27	27	$1509.63	$499.00
11643 Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips	20	18	$1012.50	$183.37
29848 Release of wrist ligament using an endoscope	11	11	$3181.82	$616.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	99	99	$250.00	$122.66
99213 Established patient office or other outpatient visit, typically 15 minutes	88	67	$175.00	$99.36
20550 Injection into tendon or ligament	71	45	$253.52	$55.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	69	57	$250.00	$141.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	68	68	$350.00	$182.74
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	22	22	$1450.00	$532.49
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	16	15	$1175.00	$457.73
11643 Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips	13	11	$900.00	$199.38
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	12	12	$1100.00	$400.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	98	74	$175.00	$81.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	76	60	$251.32	$119.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	72	72	$350.00	$180.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	69	69	$250.00	$118.29
20550 Injection into tendon or ligament	43	29	$250.00	$54.37
26160 Removal of growth of tendon finger or hand	11	11	$2300.00	$650.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0775 Injection, collagenase, clostridium histolyticum, 0.01 mg	1,980	12	$90.00	$46.37
99213 Established patient office or other outpatient visit, typically 15 minutes	136	99	$173.71	$80.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	86	69	$247.67	$117.56
20550 Injection into tendon or ligament	83	49	$250.00	$52.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	79	79	$250.00	$116.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	62	62	$350.00	$177.69
20527 Injection of medication into palm	22	12	$150.00	$73.87
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	14	13	$1450.00	$532.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	104	80	$150.00	$78.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	97	97	$250.00	$116.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	76	61	$225.00	$115.52
20550 Injection into tendon or ligament	70	44	$250.00	$50.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$350.00	$174.55
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	22	17	$1450.00	$498.59
29848 Release of wrist ligament using an endoscope	18	17	$3055.56	$581.83
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	16	12	$1150.00	$439.77
11443 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 2.1-3.0 cm	13	11	$650.00	$122.80
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	11	11	$1050.00	$395.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	96	73	$150.00	$77.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	94	94	$250.00	$116.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	93	75	$225.00	$114.42
20550 Injection into tendon or ligament	85	56	$250.00	$52.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	72	72	$350.35	$173.92
29848 Release of wrist ligament using an endoscope	14	13	$3214.29	$644.21
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	13	12	$1050.00	$400.96
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	11	11	$500.00	$105.16

Medical Specialties & State Licenses

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License CT 038143

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Specialist

NUCC Taxonomy Code: 174400000X

State License CT 038143

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

001381433 (CT)

Hospital & Practice Group Affiliations

Advanced Specialty Care, P.c.

107 Newtown Rd, Danbury, CT 068104151

Phone: 2038304700

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners

Dr. Jennifer Donath , CCC-A, AuD

Audiologist

NPI 1003036872

CCCA, Doctor of Audiology

Dr. Prashant Soni , MD

Plastic Surgery

NPI 1003969056

Doctor of Medicine (M.D.)

Dmitriy Timerman

Dermatology

NPI 1174986525

Dr. David Goldenberg , MD

Plastic Surgery

NPI 1184629545

Doctor of Medicine (M.D.)

Michele Carfo

Hearing Instrument Specialist

NPI 1225910078

Dr. Kenneth Helmandollar , MD

Dermatology

NPI 1245625037

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

📍

Updated Practice Location March 01, 2018

Registered at 107 NEWTOWN RD, 2C, DANBURY, CT 068104146 (Tel: 2037919661)

📍

Updated Business Mailing Address March 01, 2018

Registered at 107 NEWTOWN RD, 2C, DANBURY, CT 068104146 (Tel: 2037919661)

👤

Provider Name / Credentials Updated March 01, 2018

Recorded as MOHAMMAD ISLAM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 01, 2018

Specialist (License #038143 in CT)

📍

Updated Practice Location March 03, 2014

Registered at 107 NEWTOWN RD, 2C, DANBURY, CT 068104146 (Tel: 2037919661)

📍

Updated Business Mailing Address March 03, 2014

Registered at 107 NEWTOWN RD, 2C, DANBURY, CT 068104146 (Tel: 2037919661)

👤

Provider Name / Credentials Updated March 03, 2014

Recorded as MOHAMMED ISLAM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2014

Specialist (License #038143 in CT)

🔄

NPI Profile Reactivated April 12, 2006

Record officially reactivated for active practice on April 12, 2006

⚠️

NPI Profile Deactivated March 31, 2006

Record deactivated on March 31, 2006

🟢

Initial NPI Registration & Enumeration June 16, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1811992878

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 16, 2005

Last Update: March 01, 2018

Deactivation Date: March 31, 2006

Sole Proprietor: No

Update or Correct Profile

Mailing Address

107 Newtown Rd, 2c

Danbury, CT 068104146

Phone: 2037919661

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.