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Active NPI 1184022758 Individual Practitioner Male Practitioner

Md Moinul Islam , PA

Physician Assistant • Odessa, TX

Professional Overview & Biography Verified Profile Summary

Md Moinul Islam, PA is a registered healthcare professional specializing in Physician Assistant in Odessa, TX. Practice services are available at 6030 W. UNIVERSITY under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, critical care, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6030 W. University

Odessa, TX 79764

Telephone 4326406600
Fax 4326404790
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Odessa, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.1 Yrs
State Avg: 13.9 Yrs
Regional Practice Density
53 Specialists

Practicing in Odessa, TX (11140 Statewide)

Telehealth Adoption Rate
7.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
86.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
99285 Emergency department visit for life threatening or functioning severity
159 154 $1108.68 $159.31
99284 Emergency department visit with moderate level of medical decision making
103 97 $885.10 $109.88
99291 Critical care, first 30-74 minutes
24 24 $1381.58 $193.18
99283 Emergency department visit with low level of medical decision making
11 11 $594.64 $65.37

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA09504

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

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

10 Associated Practitioners
Edak Akan , FNP

Nurse Practitioner - Family

NPI 1194288332

Family Nurse Practitioner

NPI 1376807362

Doctor of Medicine (M.D.)

Juliet Arihi , FNP-C

Nurse Practitioner - Family

NPI 1386289833

Family Nurse Practitioner (Certified)

Osnay Isasi Gazmuri , FNP-C

Nurse Practitioner - Family

NPI 1407692015

Family Nurse Practitioner (Certified)

Amarachi Eke-Okoro

Nurse Practitioner - Family

NPI 1487522173
Alona Roldan , FNP

Nurse Practitioner - Family

NPI 1538985783

Family Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 21, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location January 21, 2015

Registered at 6030 W. UNIVERSITY, ODESSA, TX 79764 (Tel: 4326406600)

📍
Updated Business Mailing Address January 21, 2015

Registered at PO BOX 2129, ODESSA, TX 797602129 (Tel: 4326406600)

👤
Provider Name / Credentials Updated January 21, 2015

Recorded as MD MOINUL ISLAM, P.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 21, 2015

Physician Assistant (License #PA09504 in TX)

🟢
Initial NPI Registration & Enumeration December 15, 2014

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: 1184022758
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 15, 2014
Last Update: January 21, 2015
Sole Proprietor: No

Mailing Address

Po Box 2129

Odessa, TX 797602129

Phone: 4326406600

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.