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

Shakib Wasiful Islam, MD

Individual provider Diagnostic Radiology Physician · NPI 1568925402

Shakib Wasiful Islam, MD is a Diagnostic Radiology in Cincinnati, Ohio. Graduated from Northeastern Ohio University College of Medicine in 2019, 7 years ago. Practices with Kelsey-Seybold Medical Group, PLLC, a 942-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Ohio and Texas.

Years since qualifying
7
Trained at
Northeastern Ohio University College of Medicine
Licensed in
OH, TX
In the registry since
2019
Specialties on file
2
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

3188 Bellevue Ave
Cincinnati, OH 45219-2369
Phone: (513) 584-7355
Fax: (513) 584-0431
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 55 Arch St Ste 1b, Akron, OH 44304-1436 — (330) 375-3315
  • 1010 S Ponds Dr, Webster, TX 77598-1409 — (713) 442-4300

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 35.141765 (OH)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence V1793 (TX)

Record details

NPI number1568925402
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 8, 2019
Last updated in NPPESAugust 11, 2024
Certification dateAugust 11, 2024

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolNORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Kelsey-Seybold Medical Group, Pllc — 942 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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