NOOREEN IBRAHIM (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1720433212

NOOREEN IBRAHIM (DPM) is a healthcare provider. based in Crystal lake, Illinois. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 016.005858 (IL). The NPI Number for NOOREEN IBRAHIM (DPM) is 1720433212

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
NOOREEN IBRAHIM (DPM)
NPI
1720433212
Phone
(847) 639-5800
Address
750 E TERRA COTTA AVE STE C
Enumeration Date
3 May 2016
Last Update Date
25 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8472983338
Graduation Year
2016 (10 years ago)
PAC ID
8123455623
Group Practice PAC ID
8820183742
Professional Enrollment ID
I20200224000025
Address ID
IL600168821DE1400XRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

296 PODIATRY in WI

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Provider Addresses for NOOREEN IBRAHIM (DPM)

  • 750 E TERRA COTTA AVE STE C

    CRYSTAL LAKE, IL 600143621

    Phone: (847) 639-5800

    Fax: (815) 526-3467

    Type: Mailing

  • 5000, West Chambers Street, Saint Joseph's, Milwaukee, Milwaukee County, Wisconsin, 53210, United States

    MILWAUKEE, WI 532101650

    Phone: (773) 759-4336

    Type: Location

  • 767 PARK AVE W STE 180

    HIGHLAND PARK, IL 600352470

    Phone: (847) 380-3700

    Fax: (815) 526-3467

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2024-07-18 • Largest payer in this snapshot: Paratek Pharmaceuticals, Inc. ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-18

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: 2020-02-24

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
I20200224000025IPodiatryILTBD

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
11721Removal of fingernails or toenails, 6 or more nails10252$0
99213Established patient office or other outpatient visit, 20-29 minutes10158$0
73630X-ray of foot, minimum of 3 views7142$0
99203New patient office or other outpatient visit, 30-44 minutes5151$0
99204New patient office or other outpatient visit, 45-59 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 60014)

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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: 8820183742View full group profile
NameSpecialtyState
P O D I A T R YIL
P O D I A T R YIL

Reviews

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Frequently asked questions

Does NOOREEN IBRAHIM (DPM) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — NOOREEN IBRAHIM (DPM) uses 1720433212.
Does CMS list NOOREEN IBRAHIM (DPM) as active?
Yes — NOOREEN IBRAHIM (DPM) is active in the NPI listing used on this page.
What is NOOREEN IBRAHIM (DPM) best known for clinically?
Directory data describes NOOREEN IBRAHIM (DPM) with Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Does NOOREEN IBRAHIM (DPM) list a practice location?
Patients near Crystal Lake, Illinois may find NOOREEN IBRAHIM (DPM) in results; validate coverage separately.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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