MIRIAM LELA IBRAHIM (MD) – Physical Medicine & Rehabilitation Physician, NPI 1194768549
Physical Medicine & Rehabilitation Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
183 PAIN MANAGEMENT in IN
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Provider Addresses for MIRIAM LELA IBRAHIM (MD)
Muncie Post Office, Kaw Drive, Muncie, Kansas City, Wyandotte County, Kansas, 66112, United States
MUNCIE, IN 473081889
Phone: (765) 284-0493
Type: Mailing
1107, South Tillotson Avenue, Muncie, Delaware County, Indiana, 47304, United States
STE 1
MUNCIE, IN 473044517
Phone: (765) 213-3024
Fax: (765) 282-9303
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $161.
Total Amount is formed as General ($161) + Research ($0) + Ownership ($0) = $161.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Exact Sciences Corporation ($30).
Total Amount
$161
General + Research + Ownership
Payments
9
Total payment records
General Amount
$161
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2010-06-08
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 |
|---|---|---|---|---|
| I20100608000118 | I | Pain Management | IN | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 47308)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL MEDICINE AND REHABILITATIO | IN | 20610 | Aspiration and/or injection of large joint or joint capsule | 640 | 158 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IN | |
| Orthopedic Surgery | IN | |
| Orthopedic Surgery | IN | |
| Interventional Pain Management | IN | |
| Family Practice, Hospitalist | IN | |
| Orthopedic Surgery | IN | |
| Family Practice | IN | |
| P O D I A T R Y | IN | |
| Orthopedic Surgery | IN | |
| Pain Management | IN |
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