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

Mimsa Islam, MD

Individual provider Internal Medicine Physician · NPI 1588227474

Mimsa Islam, MD is an Internal Medicine in San Jose, California. Qualified in 2014, 12 years ago. Practices with County of Santa Clara, a 993-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
12
Licensed in
CA
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

500 Tully Rd
San Jose, CA 95111-1917
Phone: (530) 407-1890
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A183132 (CA)

Record details

NPI number1588227474
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 17, 2019
Last updated in NPPESSeptember 10, 2025
Certification dateSeptember 10, 2025
Mailing address500 Tully Rd, San Jose, CA 95111-1917

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice County Of Santa Clara — 993 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in San Jose