IKRAMAMUL LATIF NIBIR (DO) – Internal Medicine Physician, NPI 1134864093

IKRAMAMUL LATIF NIBIR (DO) is a healthcare provider. based in Boca raton, Florida. specializing in INTERNAL MEDICINE. They hold the professional credentials DO. They hold a License No. OS21340 (FL). The NPI Number for IKRAMAMUL LATIF NIBIR (DO) is 1134864093

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
IKRAMAMUL LATIF NIBIR (DO)
NPI
1134864093
Phone
(561) 955-5365
Address
FLORIDA ATLANTIC UNIVERSITY INTERNAL MEDICINE RESIDENCY
Enumeration Date
4 May 2022
Last Update Date
2 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3054819776
Graduation Year
2022 (4 years ago)
PAC ID
0143609081
Group Practice PAC ID
9234476920
Professional Enrollment ID
I20250915000731
Address ID
FL331402948MI4300XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Digital endpointsOther names

12,368 INTERNAL MEDICINE in FL

Provider Addresses for IKRAMAMUL LATIF NIBIR (DO)

  • FLORIDA ATLANTIC UNIVERSITY INTERNAL MEDICINE RESIDENCY

    800 MEADOWS ROAD

    BOCA RATON, FL 33486

    Phone: (561) 955-5365

    Fax: (561) 955-3577

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-09-15

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
I20250915000731IInternal MedicineFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33486)

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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: 9234476920View full group profile
NameSpecialtyState
Internal Medicine, Cardiovascular Disease (Cardiology)FL
Internal MedicineFL
-FL
Internal MedicineFL
Internal Medicine, HospitalistFL
Nurse PractitionerFL
Internal MedicineWV
Internal MedicineFL
Physician AssistantFL
Internal MedicineFL

Reviews

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Frequently asked questions

Does IKRAMAMUL LATIF NIBIR (DO) have a public NPI I can cite?
Public records show IKRAMAMUL LATIF NIBIR (DO) under NPI 1134864093.
Is IKRAMAMUL LATIF NIBIR (DO) currently accepting referrals based on NPI status?
Registry metadata lists IKRAMAMUL LATIF NIBIR (DO) as active.
Which specialty label fits IKRAMAMUL LATIF NIBIR (DO)?
NPPES ties IKRAMAMUL LATIF NIBIR (DO) to Internal Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is IKRAMAMUL LATIF NIBIR (DO) tied to Boca Raton, Florida?
If you are local to Boca Raton, Florida, IKRAMAMUL LATIF NIBIR (DO) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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