DR. IBRAHIM R MADY (MD) – General Practice Physician, NPI 1629115332

DR. IBRAHIM R MADY (MD) is a healthcare provider. based in La plata, Maryland. specializing in GENERAL PRACTICE. They hold the professional credentials MD. They hold a License No. D0032669 (MD). The NPI Number for DR. IBRAHIM R MADY (MD) is 1629115332

Main info

Male
50 Years Of Experience
Accepts Medicare Assignment
Name
DR. IBRAHIM R MADY (MD)
NPI
1629115332
Phone
(301) 934-2299
Address
6620 CRAIN HWY
Enumeration Date
31 January 2007
Last Update Date
10 April 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3013454400
Graduation Year
1976 (50 years ago)
PAC ID
9436129228
Group Practice PAC ID
2860660743
Professional Enrollment ID
I20181115000587
Address ID
MD207402540CO4701XPLXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

107 GENERAL PRACTICE in MD

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Provider Addresses for DR. IBRAHIM R MADY (MD)

  • 6620, Crain Highway, Haldane, La Plata, Charles County, Maryland, 20646, United States

    STE 104

    LA PLATA, MD 20646

    Phone: (301) 934-2299

    Fax: (301) 392-2119

    Mailing address matches the actual address.

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: 2018-11-15

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
I20180519000047IGeneral PracticeMDTBD
I20181115000587IGeneral PracticeDCTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes6040$0
36415Insertion of needle into vein for collection of blood sample4131$0
99214Established patient office or other outpatient visit, 30-39 minutes3627$0
87631Detection test by nucleic acid for multiple types of respiratory virus, multiple types or subtypes, 3-5 targets2218$0
99203New patient office or other outpatient visit, 30-44 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 20646)

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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: 2860660743View full group profile
NameSpecialtyState
Nurse PractitionerMD
Family PracticeMD
Internal Medicine, Emergency MedicineVA

Reviews

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Frequently asked questions

How is DR. IBRAHIM R MADY (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. IBRAHIM R MADY (MD) with NPI 1629115332.
Does CMS list DR. IBRAHIM R MADY (MD) as active?
Yes — DR. IBRAHIM R MADY (MD) is active in the NPI listing used on this page.
What healthcare role does DR. IBRAHIM R MADY (MD) hold?
Scheduling teams often label DR. IBRAHIM R MADY (MD) under General Practice Physician. Clinical services aligned with this taxonomy classification.
Where is DR. IBRAHIM R MADY (MD) based?
DR. IBRAHIM R MADY (MD) is tied to La Plata, Maryland in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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