Imtiaz Islam, MD - Medicare Nephrology in Kearney, NE

Imtiaz Islam, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Kearney, Nebraska. He graduated from medical school in 1989 and has 35 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Chi Health Clinic Specialty Llc and his current practice location is 3219 Central Ave, Suite 200, Kearney, Nebraska. You can reach out to his office (for appointments etc.) via phone at (308) 865-2370.

Imtiaz Islam is licensed to practice in Nebraska (license number 21996) 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 1336122597.

Contact Information

Imtiaz Islam, MD
3219 Central Ave, Suite 200,
Kearney, NE 68847-2949
(308) 865-2370
Not Available



Physician's Profile

Full NameImtiaz Islam
GenderMale
SpecialityNephrology
Experience35 Years
Location3219 Central Ave, Kearney, Nebraska
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:
  • Imtiaz Islam graduated from medical school in 1989
  NPI Data:
  • NPI Number: 1336122597
  • Provider Enumeration Date: 11/22/2005
  • Last Update Date: 10/18/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 7719067032
  • Enrollment ID: I20091202000419

Medical Identifiers

Medical identifiers for Imtiaz Islam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336122597NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology 21996 (Nebraska)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Fmc - Overland TrailsKearney, NEDialysis facility
Mccook Dialysis CenterMccook, NEDialysis facility
Chi Health Good SamaritanKearney, NEHospital
Community HospitalMccook, NEHospital
Phelps Memorial Health CenterHoldrege, NEHospital
Cozad Community HospitalCozad, NEHospital
Jennie M Melham Memorial Medical CenterBroken bow, NEHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Chi Health Clinic Specialty Llc4789098443234

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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. Imtiaz Islam allows following entities to bill medicare on his behalf.
Entity NameThe Physician Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437184652
PECOS PAC ID: 3476453267
Enrollment ID: O20040128001100

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Entity NameChi Health Clinic Specialty Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285138065
PECOS PAC ID: 4789098443
Enrollment ID: O20210121000492

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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. Imtiaz 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
Imtiaz Islam, MD
3219 Central Ave, Suite 200,
Kearney, NE 68847-2949

Ph: (308) 865-2370
Imtiaz Islam, MD
3219 Central Ave, Suite 200,
Kearney, NE 68847-2949

Ph: (308) 865-2370

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Internal Medicine Doctors in Kearney, NE

Ronald Dobesh, M.D.
Nephrology
Medicare: Not Enrolled in Medicare
Practice Location: 3219 Central Ave, Kearney, NE 68847
Phone: 308-865-2808    
Dr. John S Waters, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 10 E 31st St, Kearney, NE 68847
Phone: 308-865-7100    
Dr. Panayotis-alain Efstratiou, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 3219 Central Ave Ste 201, Kearney, NE 68847
Phone: 308-865-7271    
Dr. Meenakshi Ghosh,
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 3219 Central Ave Ste 200, Kearney, NE 68847
Phone: 308-865-2370    
Lissa Woodruff, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 3219 Central Ave, Kearney, NE 68847
Phone: 308-865-2808    
Dr. Anub George John, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 3219 Central Ave, Kearney, NE 68847
Phone: 308-865-7271    Fax: 308-865-2045
Scott Smith, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 816 22nd Ave, Suite 100, Kearney, NE 68845
Phone: 308-865-2263    Fax: 308-865-2541

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