MOHAMED RUZAIK IBRAHIM (MD) – Cardiovascular Disease Physician, NPI 1235309527

MOHAMED RUZAIK IBRAHIM (MD) is a healthcare provider. based in Mount vernon, Illinois. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials MD. They hold a License No. A98494 (CA). The NPI Number for MOHAMED RUZAIK IBRAHIM (MD) is 1235309527

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
MOHAMED RUZAIK IBRAHIM (MD)
NPI
1235309527
Phone
(618) 315-6090
Address
4115 S WATER TOWER PL
Enumeration Date
3 March 2008
Last Update Date
30 June 2016

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Secondary Phone
3152749102
Graduation Year
2005 (21 years ago)
PAC ID
4082786942
Group Practice PAC ID
6204827280
Professional Enrollment ID
I20220819002352
Address ID
NY136761218PO201XXSTXX303
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:18State licenses:2Digital endpointsOther names

1,594 CARDIOVASCULAR DISEASE (CARDIOLOGY) in IL

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Provider Addresses for MOHAMED RUZAIK IBRAHIM (MD)

  • 4115, South Water Tower Place, Mount Vernon, Jefferson County, Illinois, 62864, United States

    MOUNT VERNON, IL 628646293

    Phone: (618) 315-6090

    Type: Location

  • 4113, South Water Tower Place, Mount Vernon, Jefferson County, Illinois, 62864, United States

    MOUNT VERNON, IL 628646293

    Phone: (618) 315-6090

    Fax: (618) 204-5472

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $25.

Total Amount is formed as General ($25) + Research ($0) + Ownership ($0) = $25.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($25).

Total Amount

$25

General + Research + Ownership

Payments

2

Total payment records

General Amount

$25

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-30

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2022-08-19

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
I20220819002352ICardiovascular Disease (Cardiology)NYTBD

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only210183$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function161157$0
99214Established patient office or other outpatient visit, 30-39 minutes11088$0
93016Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician7271$0
93018Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician5352$0
View full utilization report →

Insurance plans in this area (ZIP 62864)

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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: 6204827280View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YNY
Clinical Social WorkerNY
Physician AssistantFL
Vascular SurgeryNY
Certified Registered Nurse Anesthetist (Crna)NY
Pulmonary DiseaseNM
-NY
-OH
Physician AssistantOH
Hematology/Oncology, Medical OncologyNY

Reviews

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Frequently asked questions

Can I verify MOHAMED RUZAIK IBRAHIM (MD) with an NPI only?
You can start verification with NPI 1235309527 for MOHAMED RUZAIK IBRAHIM (MD), then check state licensing separately.
Can I rely on MOHAMED RUZAIK IBRAHIM (MD) being an active provider?
As of the registry snapshot, MOHAMED RUZAIK IBRAHIM (MD) is marked active.
What is MOHAMED RUZAIK IBRAHIM (MD)'s specialty?
The listing groups MOHAMED RUZAIK IBRAHIM (MD) with Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
What area does MOHAMED RUZAIK IBRAHIM (MD) serve?
MOHAMED RUZAIK IBRAHIM (MD)'s listing highlights Mount Vernon, Illinois; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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