DR. HOMAM IBRAHIM (MD) – Interventional Cardiology Physician, NPI 1114150257

DR. HOMAM IBRAHIM (MD) is a healthcare provider. based in Silver spring, Maryland. specializing in VASCULAR SURGERY. They hold the professional credentials MD. They hold a License No. 284258 (NY). The NPI Number for DR. HOMAM IBRAHIM (MD) is 1114150257

Main info

Male
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. HOMAM IBRAHIM (MD)
NPI
1114150257
Phone
(832) 618-6687
Address
11886 HEALING WAY STE 403
Enumeration Date
24 August 2009
Last Update Date
29 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3012796000
Graduation Year
2007 (19 years ago)
PAC ID
3971897489
Group Practice PAC ID
4284631540
Professional Enrollment ID
I20240529001498
Address ID
MD208503357RO9901XDRXX400

Contacts

Secure Messaging
hibrahim130875@nyumc.direct-ci.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience88
Completeness85
Years active:16State licenses:4Other namesUpdated within 12 months

173 VASCULAR SURGERY in MD

Provider Addresses for DR. HOMAM IBRAHIM (MD)

  • 11886 HEALING WAY STE 403

    SILVER SPRING, MD 209047917

    Phone: (832) 618-6687

    Type: Mailing

  • 1901 Tate Springs Rd

    Lynchburg, VA 245011109

    Phone: (434) 200-5252

    Type: Location

  • NYU Langone Health - Tisch Hospital, 550, 1st Avenue, Kips Bay, Manhattan Community Board 6, Manhattan, New York County, New York, 10016, United States

    NEW YORK, NY 100166402

    Phone: (212) 263-5656

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 98 Open Payments records for all available years, with a total value of $30,668.

Total Amount is formed as General ($30,668) + Research ($0) + Ownership ($0) = $30,668.

Last reported payment date: 2024-11-05 • Largest payer in this snapshot: Medtronic, Inc. ($28,226).

Total Amount

$30,668

General + Research + Ownership

Payments

98

Total payment records

General Amount

$30,668

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-05

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: 2025-05-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20160805001829ICardiovascular Disease (Cardiology)NYTBD
I20240123002680IInterventional CardiologyILTBD
I20240529001498IVascular SurgeryDCTBD
I20250523001733IInterventional CardiologyMDTBD

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
93454Insertion of tube in coronary artery for diagnosis with review by radiologist6766$0
33361Replacement of aortic valve through the skin and femoral artery6363$0
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes5047$0
99213Established patient office or other outpatient visit, 20-29 minutes3021$0
92928Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch2118$0
View full utilization report →

Insurance plans in this area (ZIP 20904)

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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: 4284631540View full group profile
NameSpecialtyState
Nurse PractitionerDC
Physician AssistantMD
-MD
-MD
Nurse PractitionerMD
Cardiovascular Disease (Cardiology), Internal MedicineMD
Cardiovascular Disease (Cardiology)MD
Cardiovascular Disease (Cardiology)NJ
Cardiovascular Disease (Cardiology), Internal Medicine, Interventional CardiologyTX
U R O L O G YMD

Reviews

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Frequently asked questions

How is DR. HOMAM IBRAHIM (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. HOMAM IBRAHIM (MD) with NPI 1114150257.
Can I rely on DR. HOMAM IBRAHIM (MD) being an active provider?
As of the registry snapshot, DR. HOMAM IBRAHIM (MD) is marked active.
What is DR. HOMAM IBRAHIM (MD)'s specialty?
The listing groups DR. HOMAM IBRAHIM (MD) with Interventional Cardiology Physician. Clinical services aligned with this taxonomy classification.
Does DR. HOMAM IBRAHIM (MD) list a practice location?
Patients near Silver Spring, Maryland may find DR. HOMAM IBRAHIM (MD) in results; validate coverage separately.
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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