IDAYAT BRIMAH (MD) – Pulmonary Disease Physician, NPI 1952892515

IDAYAT BRIMAH (MD) is a healthcare provider. based in West roxbury, Massachusetts. specializing in PULMONARY DISEASE. They hold the professional credentials MD. They hold a License No. 42910 (OK). The NPI Number for IDAYAT BRIMAH (MD) is 1952892515

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
IDAYAT BRIMAH (MD)
NPI
1952892515
Phone
(347) 740-3643
Address
138 EDGEMERE RD APT 9
Enumeration Date
18 May 2018
Last Update Date
9 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5805481544
Graduation Year
2009 (17 years ago)
PAC ID
5193260743
Group Practice PAC ID
2365408465
Professional Enrollment ID
I20240708004244
Address ID
OK737017270EN620XXSTXX419
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:8State licenses:1Digital endpointsOther names

1,708 PULMONARY DISEASE in NY

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Provider Addresses for IDAYAT BRIMAH (MD)

  • 138 EDGEMERE RD APT 9

    WEST ROXBURY, MA 021325322

    Phone: (347) 740-3643

    Type: Mailing

  • NYC Health + Hospitals/Harlem, 506, Malcolm X Boulevard, Harlem, Manhattan Community Board 10, Manhattan, New York County, New York, 10037, United States

    NEW YORK, NY 100371802

    Phone: (212) 939-1000

    Type: Location

  • 3001 QUAIL SPRINGS PKWY FL 5

    OKLAHOMA CITY, OK 731342640

    Phone: (580) 213-9741

    Fax: (580) 213-9740

    Type: Mailing

  • 620 S MONROE ST STE 209

    ENID, OK 737017211

    Phone: (580) 213-9741

    Fax: (580) 213-9740

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $541.

Total Amount is formed as General ($541) + Research ($0) + Ownership ($0) = $541.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($145).

Total Amount

$541

General + Research + Ownership

Payments

28

Total payment records

General Amount

$541

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

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: 2024-07-08

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240708004244IPulmonary DiseaseOKTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02132)

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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: 2365408465View full group profile
NameSpecialtyState
P S Y C H I A T R YOK
-OK
Physician AssistantOK
Orthopedic SurgeryOK
-OK
Family Practice, General Surgery, Osteopathic Manipulative MedicineOK
-OK
H O S P I T A L I S TOK
H E M A T O L O G Y/ O N C O L O G YOK
-OK

Reviews

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Frequently asked questions

Does IDAYAT BRIMAH (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — IDAYAT BRIMAH (MD) uses 1952892515.
Is IDAYAT BRIMAH (MD) still practicing?
IDAYAT BRIMAH (MD) is currently listed as active in the public NPI registry.
What taxonomy line describes IDAYAT BRIMAH (MD)?
For research purposes, treat IDAYAT BRIMAH (MD) as Pulmonary Disease Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for IDAYAT BRIMAH (MD)?
IDAYAT BRIMAH (MD)'s geographic hint is West Roxbury, Massachusetts in our summary view.
Why does IDAYAT BRIMAH (MD) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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