MR. IBRAHIM JALLOH (FNP) – Internal Medicine Physician, NPI 1033604459

MR. IBRAHIM JALLOH (FNP) is a healthcare provider. based in Lanham, Maryland. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. R185493 (MD). The NPI Number for MR. IBRAHIM JALLOH (FNP) is 1033604459

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
MR. IBRAHIM JALLOH (FNP)
NPI
1033604459
Phone
(240) 486-6931
Address
9901 POPLAR ST
Enumeration Date
27 June 2018
Last Update Date
27 June 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4109473052
Graduation Year
2017 (9 years ago)
PAC ID
1658730882
Group Practice PAC ID
7719278597
Professional Enrollment ID
I20230706003706
Address ID
MD212293405BA22XXXAVEX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

6,767 NURSE PRACTITIONER in MD

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Provider Addresses for MR. IBRAHIM JALLOH (FNP)

  • 9901, Poplar Street, Glendale Heights, Seabrook, Glenn Dale, Prince George's County, Maryland, 20706, United States

    LANHAM, MD 207064733

    Phone: (240) 486-6931

    Type: Mailing

  • 7500, Hanover Parkway, Greenbelt, Prince George's County, Maryland, 20770, United States

    GREENBELT, MD 207702010

    Phone: (301) 441-8696

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $27.

Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.

Last reported payment date: 2023-08-02 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($27).

Total Amount

$27

General + Research + Ownership

Payments

3

Total payment records

General Amount

$27

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-02

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: 2023-07-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20230706003441INurse PractitionerDCTBD
I20230706003706INurse PractitionerMDTBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes495112$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes6430$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes4934$0
99316Nursing facility discharge management, more than 30 minutes4441$0
View full utilization report →

Insurance plans in this area (ZIP 20706)

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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: 7719278597View full group profile
NameSpecialtyState
Internal MedicineDC
Nurse PractitionerMD
Nurse PractitionerNC
Pulmonary DiseaseDC
Infectious Disease, Internal MedicineVA
Nurse PractitionerDE
Nurse PractitionerMD
-MD
Internal MedicineVA
Nurse PractitionerMD

Reviews

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Frequently asked questions

What is MR. IBRAHIM JALLOH (FNP)'s NPI number?
MR. IBRAHIM JALLOH (FNP)'s NPI is 1033604459 — the number used across U.S. healthcare to identify this provider.
Is there an active status for MR. IBRAHIM JALLOH (FNP)?
For scheduling context, MR. IBRAHIM JALLOH (FNP) is shown as active in the registry.
What clinical focus is listed for MR. IBRAHIM JALLOH (FNP)?
At a glance, MR. IBRAHIM JALLOH (FNP) is tied to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is MR. IBRAHIM JALLOH (FNP) located near Lanham?
MR. IBRAHIM JALLOH (FNP) currently maps to Lanham, Maryland in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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