ISLAM MOHAMED IBRAHIM (MD) – Critical Care Medicine (Internal Medicine) Physician, NPI 1962586917

ISLAM MOHAMED IBRAHIM (MD) is a healthcare provider. based in Los angeles, California. specializing in CRITICAL CARE (INTENSIVISTS), INTERNAL MEDICINE, PULMONARY DISEASE. They hold the professional credentials MD. They hold a License No. C54272 (CA). The NPI Number for ISLAM MOHAMED IBRAHIM (MD) is 1962586917

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
ISLAM MOHAMED IBRAHIM (MD)
NPI
1962586917
Phone
(800) 926-8273
Address
FILE 57326
Enumeration Date
25 October 2006
Last Update Date
12 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3103792134
Graduation Year
1989 (37 years ago)
PAC ID
4981734068
Group Practice PAC ID
7911302468
Professional Enrollment ID
I20111004000812
Address ID
CA920294159ES2185XPKWY300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,125 CRITICAL CARE (INTENSIVISTS) in CA

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Provider Addresses for ISLAM MOHAMED IBRAHIM (MD)

  • FILE 57326

    LOS ANGELES, CA 900747326

    Phone: (800) 926-8273

    Type: Mailing

  • PO BOX 232410

    SAN DIEGO, CA 921932410

    Phone: (216) 916-0596

    Type: Mailing

  • 402, Dickinson Street, Hillcrest, San Diego, San Diego County, California, 92103, United States

    SUITE 320

    SAN DIEGO, CA 921036902

    Phone: (619) 543-6170

    Fax: (619) 543-3931

    Type: Location

  • 402 Dickinson St

    Suite 320

    San Diego, CA 921036902

    Phone: (619) 543-6170

    Fax: (619) 543-3931

    Type: Location

  • 4168 Front St

    San Diego, CA 921032030

    Phone: (800) 926-8273

    Type: Location

  • 200 W Arbor Dr

    San Diego, CA 921039000

    Phone: (800) 926-8273

    Type: Location

  • 9300 CAMPUS POINT DR

    LA JOLLA, CA 920371300

    Phone: (800) 926-8273

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $87.

Total Amount is formed as General ($87) + Research ($0) + Ownership ($0) = $87.

Last reported payment date: 2023-09-06 • Largest payer in this snapshot: Pulmonx Corporation ($87).

Total Amount

$87

General + Research + Ownership

Payments

1

Total payment records

General Amount

$87

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-06

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Pulmonx Corporation$87
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: 2011-10-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20111004000812ICritical Care (Intensivists)CATBD

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
99291Critical care, first 30-74 minutes217126$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes4135$0
View full utilization report →

Insurance plans in this area (ZIP 90074)

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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: 7911302468View full group profile
NameSpecialtyState
Critical Care (Intensivists)CA
Critical Care (Intensivists), Internal Medicine, NephrologyCA
Critical Care (Intensivists), Internal Medicine, Pulmonary DiseaseCA
Internal Medicine, Critical Care (Intensivists), Pulmonary Disease, Sleep MedicineKY
Pulmonary DiseaseCA
Critical Care (Intensivists), Internal Medicine, Pulmonary DiseaseCT
Pulmonary Disease, Internal MedicineCA
Internal MedicineCA
Internal MedicineCA
Internal Medicine, Pulmonary DiseaseTX

Reviews

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Frequently asked questions

What NPI should I save for ISLAM MOHAMED IBRAHIM (MD)?
Save NPI 1962586917 if you need a stable reference for ISLAM MOHAMED IBRAHIM (MD).
Is ISLAM MOHAMED IBRAHIM (MD) active in the national directory?
ISLAM MOHAMED IBRAHIM (MD)'s public NPI profile is in an active state.
What does ISLAM MOHAMED IBRAHIM (MD) treat or focus on?
Patients typically see ISLAM MOHAMED IBRAHIM (MD) under the specialty Critical Care Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
Where is ISLAM MOHAMED IBRAHIM (MD)'s primary listing?
We display Los Angeles, California because that is what the record indicates for ISLAM MOHAMED IBRAHIM (MD).
How can I contact ISLAM MOHAMED IBRAHIM (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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