DR. KHALED IBRAHIM (M.D.) – General Practice Physician, NPI 1497108393
General Practice Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. KHALED IBRAHIM (M.D.)
100 ARRICOLA AVE
ST AUGUSTINE, FL 320804515
Phone: (904) 825-4368
Type: Mailing
404 AVE GENERAL VALERO
FAJARDO, PR 007383998
Phone: (787) 655-0505
Type: Mailing
264A PALM COAST PKWY NE
PALM COAST, FL 321378217
Phone: (386) 446-5505
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $277.
Total Amount is formed as General ($277) + Research ($0) + Ownership ($0) = $277.
Last reported payment date: 2024-09-16 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($242).
Total Amount
$277
General + Research + Ownership
Payments
12
Total payment records
General Amount
$277
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $242 |
| Medtronic, Inc. | $18 |
| Janssen Pharmaceuticals, Inc | $16 |
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: 2020-06-30
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200630000065 | I | General Practice | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 32 | 18 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 15 | 11 | $0 |
Insurance plans in this area (ZIP 32080)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| - | FL | |
| - | FL | |
| General Practice | FL | |
| General Practice, Otolaryngology | PR | |
| - | FL | |
| Physician Assistant | FL | |
| General Practice | FL | |
| Nurse Practitioner | FL | |
| - | FL |
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