IBRAHIM AHMAD SHAH (MD) – Internal Medicine Physician, NPI 1386272565

IBRAHIM AHMAD SHAH (MD) is a healthcare provider. based in Muncie, Indiana. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 01088421A (IN). The NPI Number for IBRAHIM AHMAD SHAH (MD) is 1386272565

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
IBRAHIM AHMAD SHAH (MD)
NPI
1386272565
Phone
(765) 747-3111
Address
2401 W UNIVERSITY AVE
Enumeration Date
1 April 2020
Last Update Date
15 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8884843258
Graduation Year
2018 (8 years ago)
PAC ID
4183046030
Group Practice PAC ID
9638617913
Professional Enrollment ID
I20220929002387
Address ID
IN473033428MU2401XAVEX400

Contacts

Secure Messaging
ibrahim5320@outlook.com
Secure Messaging
ishah@direct.iuhealth.org
Secure Messaging
ISHAH@DIRECT.IUHEALTH.ORG
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness95
Years active:6State licenses:1Other names

3,517 INTERNAL MEDICINE in IN

Provider Addresses for IBRAHIM AHMAD SHAH (MD)

  • 2401 W UNIVERSITY AVE

    MUNCIE, IN 473033428

    Phone: (765) 747-3111

    Type: Location

  • 2525 W UNIVERSITY AVE STE 401

    MUNCIE, IN 473033433

    Phone:

    Type: Mailing

  • 250 N SHADELAND AVE

    INDIANAPOLIS, IN 462194959

    Phone:

    Type: Mailing

  • 500 W Votaw St

    Portland, IN 473711322

    Phone: (260) 726-7131

    Type: Location

  • 2401 W University Ave

    Muncie, IN 473033428

    Phone: (765) 747-3055

    Fax: (765) 231-5607

    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: 2022-09-29

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
I20220929002387IInternal MedicineINTBD

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 minutes1412$0
View full utilization report →

Insurance plans in this area (ZIP 47303)

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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: 9638617913View full group profile
NameSpecialtyState
Pediatric MedicineNC
U R O L O G YIN
Diagnostic Radiology, Interventional RadiologyNY
Nurse PractitionerIN
P A T H O L O G YIN
O T O L A R Y N G O L O G YIN
E N D O C R I N O L O G YIN
Family Practice, Sports MedicineIN
Gastroenterology, Internal MedicineIN
Orthopedic SurgeryMO

Reviews

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Frequently asked questions

How is IBRAHIM AHMAD SHAH (MD) identified in CMS data?
CMS-hosted NPPES data lists IBRAHIM AHMAD SHAH (MD) with NPI 1386272565.
Is IBRAHIM AHMAD SHAH (MD) still practicing?
IBRAHIM AHMAD SHAH (MD) is currently listed as active in the public NPI registry.
What is IBRAHIM AHMAD SHAH (MD)'s primary classification?
Internal Medicine Physician is the headline specialty for IBRAHIM AHMAD SHAH (MD) here. Clinical services aligned with this taxonomy classification.
What area does IBRAHIM AHMAD SHAH (MD) serve?
IBRAHIM AHMAD SHAH (MD)'s listing highlights Muncie, Indiana; more addresses can appear in NPPES.
Why does IBRAHIM AHMAD SHAH (MD) have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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