NPI age
19 years
Enumerated 2006-10-11
● Active
Type 1 · Individual
Syed Muhammad Shan Ul Islam, MD
Shan Ul Islam is 1 of 39 internal medicine providers in Cartersville and 1 of 5027 in Georgia.
Primary specialty
Internal Medicine
Plus 3 subspecialties
Licensed in
GA, IN, MS
3 states
Status
Active
No deactivations on record
Last NPPES update
2025-11-20
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 5027 active internal medicine providers in Georgia.
NPI age
19 years
≈ at median (18 yr)
State licenses
3 states
Top 89% — 10% of peers are multi-state
Subspecialties
1
In the 32% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-10Enumerated in NPPES
2006
2026
Where they practice
Practice location
960 Joe Frank Harris Pkwy Se
Cartersville, GA 301202129
Mailing address
2022 Kelle Dr
Chesterton, IN 463048708
Additional practice locations
1 secondary location on file with NPPES.
Location 2
1331 State St
La Porte, IN 463503112
Specialties
-
Internal Medicine PrimaryA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
-
HospitalistHospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (MS) | 05388729 | |
| 01 (IN) | M400055273 | MEDICARE PTAN |
| 01 (IN) | 151020025 | MEDICARE PTAN |
| 01 (IN) | P01003687 | RAILROAD MEDICARE PTAN |
| 05 (IN) | 201034600 |
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 100 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.