IBRAHIM B.I. ELAYYAN (MD) – Hospitalist Physician, NPI 1023207115

IBRAHIM B.I. ELAYYAN (MD) is a healthcare provider. based in Belleville, Illinois. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 036.125535 (IL). The NPI Number for IBRAHIM B.I. ELAYYAN (MD) is 1023207115

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
IBRAHIM B.I. ELAYYAN (MD)
NPI
1023207115
Phone
(618) 257-6220
Address
4500 Memorial Dr
Enumeration Date
15 October 2007
Last Update Date
18 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6182342120
Graduation Year
2005 (21 years ago)
PAC ID
6507051943
Group Practice PAC ID
3274765904
Professional Enrollment ID
I20101111000738
Address ID
IL622691099OX1XXXXBLVD400

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness95
Years active:18State licenses:1Other names

8,824 INTERNAL MEDICINE in IL

Provider Addresses for IBRAHIM B.I. ELAYYAN (MD)

  • 4500 Memorial Dr

    Belleville, IL 622265360

    Phone: (618) 257-6220

    Type: Location

  • 12101, Woodcrest Executive Drive, Creve Coeur, Saint Louis County, Missouri, 63141, United States

    SUITE 210

    SAINT LOUIS, MO 631415047

    Phone: (314) 317-0600

    Fax: (314) 317-0606

    Type: Mailing

  • OSF Saint Anthony's Health Center, 1, St Anthonys Way, Alton, Madison County, Illinois, 62002, United States

    ALTON, IL 620024568

    Phone: (314) 317-0600

    Fax: (314) 317-0606

    Type: Location

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: 2021-01-27

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
I20101111000738IInternal MedicineILTBD
I20210127001670IHospitalistCATBD

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes349325$0
View full utilization report →

Insurance plans in this area (ZIP 62226)

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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: 3274765904View full group profile
NameSpecialtyState
Nurse PractitionerIL
Family Practice, HospitalistWI
H O S P I T A L I S TIL
Physician AssistantIL
Internal MedicineIL
Family Practice, HospitalistMO
Physician AssistantMO
H O S P I T A L I S TIL
Nurse PractitionerIL
H O S P I T A L I S TOK

Reviews

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Frequently asked questions

What unique ID ties claims to IBRAHIM B.I. ELAYYAN (MD)?
NPI 1023207115 is assigned to IBRAHIM B.I. ELAYYAN (MD) under the national enumeration system.
Is IBRAHIM B.I. ELAYYAN (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize IBRAHIM B.I. ELAYYAN (MD)'s specialty in plain language?
Clinically, the directory lists IBRAHIM B.I. ELAYYAN (MD) with Hospitalist Physician. Clinical services aligned with this taxonomy classification.
Does IBRAHIM B.I. ELAYYAN (MD) practice in Illinois?
You will see Belleville, Illinois on file for IBRAHIM B.I. ELAYYAN (MD) alongside any extra practice locations.
What if Belleville, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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