HISHAM IZZADIN IBRAHIM (M.D) – Nephrology Physician, NPI 1619918760

HISHAM IZZADIN IBRAHIM (M.D) is a healthcare provider. based in Las vegas, Nevada. specializing in NEPHROLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D. They hold a License No. 17166 (NV). The NPI Number for HISHAM IZZADIN IBRAHIM (M.D) is 1619918760

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
HISHAM IZZADIN IBRAHIM (M.D)
NPI
1619918760
Phone
(702) 732-2438
Address
2545 S Bruce St Ste 200
Enumeration Date
9 June 2006
Last Update Date
25 March 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3522658982
Graduation Year
1993 (33 years ago)
PAC ID
2062497217
Group Practice PAC ID
0345146254
Professional Enrollment ID
I20130213000294
Address ID
FL326081532GA2001XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

136 NEPHROLOGY in NV

Provider Addresses for HISHAM IZZADIN IBRAHIM (M.D)

  • 2545 S Bruce St Ste 200

    Las Vegas, NV 891691778

    Phone: (702) 732-2438

    Fax: (702) 733-7876

    Type: Location

  • 1600 SW Archer Rd

    Department of of Nephrology

    Gainesville, FL 326100224

    Phone: (352) 273-8821

    Type: Location

  • 1210 E PLANT ST STE 120

    WINTER GARDEN, FL 347872995

    Phone: (407) 297-8408

    Fax: (407) 297-8408

    Type: Location

  • 3333, East Camelback Road, Village on the Lakes, Phoenix, Maricopa County, Arizona, 85018, United States

    STE 180

    PHOENIX, AZ 850182396

    Phone: (602) 759-6883

    Fax: (602) 224-3315

    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 $3,160.

Total Amount is formed as General ($3,160) + Research ($0) + Ownership ($0) = $3,160.

Last reported payment date: 2024-07-09 • Largest payer in this snapshot: Abbott Laboratories ($3,112).

Total Amount

$3,160

General + Research + Ownership

Payments

5

Total payment records

General Amount

$3,160

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-09

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: 2013-02-13

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
I20130213000294INephrologyFLTBD

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
99215Established patient office or other outpatient visit, 40-54 minutes220140$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes12643$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes7434$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes5529$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2220$0
View full utilization report →

Insurance plans in this area (ZIP 89169)

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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: 0345146254View full group profile

Reviews

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Frequently asked questions

Does HISHAM IZZADIN IBRAHIM (M.D) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — HISHAM IZZADIN IBRAHIM (M.D) uses 1619918760.
Does CMS list HISHAM IZZADIN IBRAHIM (M.D) as active?
Yes — HISHAM IZZADIN IBRAHIM (M.D) is active in the NPI listing used on this page.
What healthcare role does HISHAM IZZADIN IBRAHIM (M.D) hold?
Scheduling teams often label HISHAM IZZADIN IBRAHIM (M.D) under Nephrology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect HISHAM IZZADIN IBRAHIM (M.D) on a map?
Expect Las Vegas, Nevada as a primary anchor for HISHAM IZZADIN IBRAHIM (M.D) unless the record lists multiple sites.
Why does HISHAM IZZADIN IBRAHIM (M.D) 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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