ABDISAMAD IBRAHIM (MD) – Interventional Cardiology Physician, NPI 1922538834

ABDISAMAD IBRAHIM (MD) is a healthcare provider. based in Minneapolis, Minnesota. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 68572 (MN). The NPI Number for ABDISAMAD IBRAHIM (MD) is 1922538834

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
ABDISAMAD IBRAHIM (MD)
NPI
1922538834
Phone
(612) 625-9100
Address
420 DELAWARE ST SE
Enumeration Date
13 June 2017
Last Update Date
23 May 2025

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
6512323000
Graduation Year
2017 (9 years ago)
PAC ID
6002185667
Group Practice PAC ID
3971407636
Professional Enrollment ID
I20211006001516
Address ID
MN551021062SA45XXXWXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:8State licenses:2Digital endpointsOther names

3,636 INTERNAL MEDICINE in MN

Provider Addresses for ABDISAMAD IBRAHIM (MD)

  • 420 DELAWARE ST SE

    MINNEAPOLIS, MN 554550341

    Phone: (612) 625-9100

    Type: Mailing

  • 2450 Riverside Ave

    Minneapolis, MN 554541450

    Phone: (612) 672-6000

    Type: Location

  • 267 Grant St

    Bridgeport, CT 066102805

    Phone: (203) 384-3000

    Type: Location

  • 2450 RIVERSIDE AVE

    MINNEAPOLIS, MN 554541450

    Phone: (612) 672-6000

    Type: Location

  • 3300 OAKDALE AVE N

    ROBBINSDALE, MN 554222926

    Phone: (763) 581-5400

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $632.

Total Amount is formed as General ($632) + Research ($0) + Ownership ($0) = $632.

Last reported payment date: 2024-07-25 • Largest payer in this snapshot: Abbott Laboratories ($451).

Total Amount

$632

General + Research + Ownership

Payments

5

Total payment records

General Amount

$632

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-25

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: 2024-11-05

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
I20211006001516IInternal MedicineMNTBD
I20241105000376IInternal MedicineCTTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes7139$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes3517$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 55455)

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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: 3971407636View full group profile

Reviews

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Frequently asked questions

Does ABDISAMAD IBRAHIM (MD) have a public NPI I can cite?
Public records show ABDISAMAD IBRAHIM (MD) under NPI 1922538834.
Should I treat ABDISAMAD IBRAHIM (MD) as an active provider?
Patients and plans typically see ABDISAMAD IBRAHIM (MD) as active in the national extract.
Which specialty label fits ABDISAMAD IBRAHIM (MD)?
NPPES ties ABDISAMAD IBRAHIM (MD) to Interventional Cardiology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to ABDISAMAD IBRAHIM (MD)?
ABDISAMAD IBRAHIM (MD) shows a connection to Minneapolis, Minnesota in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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