DR. EBRAHIM AHMED MOHAMEDY (M.D.) – Internal Medicine Physician, NPI 1528051216

DR. EBRAHIM AHMED MOHAMEDY (M.D.) is a healthcare provider. based in Poway, California. specializing in FAMILY PRACTICE, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. A63714 (CA). The NPI Number for DR. EBRAHIM AHMED MOHAMEDY (M.D.) is 1528051216

Main info

Male
Sole Proprietor
38 Years Of Experience
Accepts Medicare Assignment
Name
DR. EBRAHIM AHMED MOHAMEDY (M.D.)
NPI
1528051216
Phone
(678) 591-9079
Address
12220 MALABAR DR
Enumeration Date
26 August 2005
Last Update Date
17 June 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9516766810
Graduation Year
1988 (38 years ago)
PAC ID
1456253319
Group Practice PAC ID
4789867805
Professional Enrollment ID
I20130514000266
Address ID
CA925922986TE48360RDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

13,194 FAMILY PRACTICE in CA

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Provider Addresses for DR. EBRAHIM AHMED MOHAMEDY (M.D.)

  • 12220, Malabar Drive, Morningside, Poway, San Diego County, California, 92064, United States

    POWAY, CA 920642433

    Phone: (678) 591-9079

    Fax: (909) 503-1225

    Type: Mailing

  • Pechanga Road, Temecula, Riverside County, California, 92592, United States

    TEMECULA, CA 92390

    Phone: (678) 591-9108

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $349.

Total Amount is formed as General ($349) + Research ($0) + Ownership ($0) = $349.

Last reported payment date: 2024-09-05 • Largest payer in this snapshot: Boston Scientific Corporation ($318).

Total Amount

$349

General + Research + Ownership

Payments

4

Total payment records

General Amount

$349

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-04-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130514000266IInternal MedicineCATBD
I20200427000210IFamily PracticeTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
82043Urine microalbumin (protein) level1614$0
84443Blood test, thyroid stimulating hormone (tsh)1514$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count1514$0
80053Blood test, comprehensive group of blood chemicals1514$0
83036Hemoglobin a1c level1513$0
View full utilization report →

Insurance plans in this area (ZIP 92064)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4789867805View full group profile

Reviews

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Frequently asked questions

Can I cross-check DR. EBRAHIM AHMED MOHAMEDY (M.D.) using NPI 1528051216?
NPI 1528051216 belongs to DR. EBRAHIM AHMED MOHAMEDY (M.D.); compare other details if you need extra assurance.
Would DR. EBRAHIM AHMED MOHAMEDY (M.D.) appear as active to a payer?
You can treat DR. EBRAHIM AHMED MOHAMEDY (M.D.) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe DR. EBRAHIM AHMED MOHAMEDY (M.D.)'s focus?
For DR. EBRAHIM AHMED MOHAMEDY (M.D.), the primary taxonomy reads as Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. EBRAHIM AHMED MOHAMEDY (M.D.)?
Directory geography for DR. EBRAHIM AHMED MOHAMEDY (M.D.) centers on Poway, California.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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