Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1023109014 Individual Practitioner Male Practitioner

Dr. Mirza Saleem-Ul Islam , MD, MPH

Surgery - Pediatric Surgery • Gainesville, FL

Professional Overview & Biography Verified Profile Summary

Dr. Mirza Islam, MD, MPH is a registered healthcare professional specializing in Surgery - Pediatric Surgery in Gainesville, FL. Practice services are available at 1600 SW ARCHER RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1600 Sw Archer Rd
#100119

Gainesville, FL 326100119

Telephone 3523923718
Fax 3523929081
Associated Practice Facility / Clinic
🏢 Faculty Associates, Inc Facility NPI 1659322014

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Pediatric Surgery in Gainesville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.7 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
4 Specialists

Practicing in Gainesville, FL (94 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery - Pediatric Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0120X

State License FL ME98674

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
277490900 (FL)

Practice Associates & Co-Workers

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

1 Associated Practitioners
Lauren Indelicato , ARNP

Nurse Practitioner - Pediatrics

NPI 1376692046

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active April 06, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 06, 2017

Registered at 1600 SW ARCHER RD, #100119, GAINESVILLE, FL 326100119 (Tel: 3523923718)

📍
Updated Business Mailing Address April 06, 2017

Registered at PO BOX 100119, GAINESVILLE, FL 326100119

👤
Provider Name / Credentials Updated April 06, 2017

Recorded as MIRZA ISLAM, M.D., M.P.H.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 06, 2017

Surgery (License #ME98674 in FL)

NPI Profile Active February 13, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location February 13, 2008

Registered at 1600 SW ARCHER RD, GAINESVILLE, FL 326103003 (Tel: 3523923718)

📍
Updated Business Mailing Address February 13, 2008

Registered at PO BOX 918025, ORLANDO, FL 328918025

👤
Provider Name / Credentials Updated February 13, 2008

Recorded as SALEEM ISLAM, M.D., M.P.H.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 13, 2008

Surgery (License #ME98674 in FL)

🟢
Initial NPI Registration & Enumeration September 27, 2006

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: 1023109014
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 27, 2006
Last Update: April 06, 2017
Sole Proprietor: No

Mailing Address

Po Box 100119

Gainesville, FL 326100119

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.