DR. JOHN FIKRY MITYAS IBRAHIM (M.D) – Hospitalist Physician, NPI 1134675218

DR. JOHN FIKRY MITYAS IBRAHIM (M.D) is a healthcare provider. based in Willowbrook, Illinois. specializing in HOSPITALIST, INTERNAL MEDICINE. They hold the professional credentials M.D. They hold a License No. 125069705 (IL). The NPI Number for DR. JOHN FIKRY MITYAS IBRAHIM (M.D) is 1134675218

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN FIKRY MITYAS IBRAHIM (M.D)
NPI
1134675218
Phone
(331) 214-1843
Address
11S513 RACHAEL CT
Enumeration Date
29 August 2016
Last Update Date
6 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7084226200
Graduation Year
2015 (11 years ago)
PAC ID
2264761055
Group Practice PAC ID
9537064316
Professional Enrollment ID
I20190903003080
Address ID
IL608052701EV2800XSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:9State licenses:5Digital endpointsOther names

2,390 HOSPITALIST in IL

Provider Addresses for DR. JOHN FIKRY MITYAS IBRAHIM (M.D)

  • 11S513 RACHAEL CT

    WILLOWBROOK, IL 605276899

    Phone: (331) 214-1843

    Type: Location

  • 20201 Crawford Ave

    Olympia Fields, IL 604611010

    Phone: (844) 740-4445

    Fax: (708) 679-2161

    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: 2023-11-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20190903003080IHospitalistILTBD
I20221229000430IHospitalistINTBD
I20230908000990IHospitalistWITBD
I20231120000700IHospitalistFLTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes450173$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes13873$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes8483$0
99239Hospital discharge day management, more than 30 minutes6563$0
99238Hospital discharge day management, 30 minutes or less4342$0
View full utilization report →

Insurance plans in this area (ZIP 60527)

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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: 9537064316View full group profile
NameSpecialtyState
Internal MedicineIL
Hospitalist, Internal MedicineIL
-IL
Nurse PractitionerIL
Nurse PractitionerMO
-IL
Internal MedicineRI
Hospitalist, Internal MedicineIN
Nurse PractitionerMI
Internal MedicineIL

Reviews

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Frequently asked questions

Does DR. JOHN FIKRY MITYAS IBRAHIM (M.D) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. JOHN FIKRY MITYAS IBRAHIM (M.D) uses 1134675218.
Can I rely on DR. JOHN FIKRY MITYAS IBRAHIM (M.D) being an active provider?
As of the registry snapshot, DR. JOHN FIKRY MITYAS IBRAHIM (M.D) is marked active.
What taxonomy line describes DR. JOHN FIKRY MITYAS IBRAHIM (M.D)?
For research purposes, treat DR. JOHN FIKRY MITYAS IBRAHIM (M.D) as Hospitalist Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does DR. JOHN FIKRY MITYAS IBRAHIM (M.D) list a practice location?
Patients near Willowbrook, Illinois may find DR. JOHN FIKRY MITYAS IBRAHIM (M.D) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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