Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Khondker Islam, MD

Individual provider Gastroenterology Physician · NPI 1568441855

Khondker Islam, MD is a Gastroenterology in Decatur, Illinois. Qualified in 1989, 37 years ago. Practices with Carle Health Care Incorporated, a 1,543-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia, Illinois and Mississippi.

Years since qualifying
37
Licensed in
GA, IL, MS
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1730 E Lake Shore Dr
Decatur, IL 62521-3809
Phone: (217) 329-1000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1001 Main St Ste 500a, Peoria, IL 61606-2038 — (309) 672-4980

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 036102111 (IL)
Gastroenterology Physician Taxonomy 207RG0100X · Licence 24098 (MS)
Gastroenterology Physician Taxonomy 207RG0100X · Licence 069489 (GA)

Record details

NPI number1568441855
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 13, 2006
Last updated in NPPESOctober 2, 2024
Certification dateOctober 2, 2024
Mailing address1730 E Lake Shore Dr, Decatur, IL 62521-3809

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Group practice Carle Health Care Incorporated — 1543 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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