ANIBAL IBANEZ MORA (MD) – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1205568557

ANIBAL IBANEZ MORA (MD) is a healthcare provider. based in Cleveland, Ohio. specializing in THORACIC SURGERY, CARDIAC SURGERY, CARDIAC SURGERY. They hold the professional credentials MD. They hold a License No. ME176893 (FL). The NPI Number for ANIBAL IBANEZ MORA (MD) is 1205568557

Main info

Male
Sole Proprietor
13 Years Of Experience
Name
ANIBAL IBANEZ MORA (MD)
NPI
1205568557
Phone
Not provided
Address
9500 EUCLID AVE # NA-23
Enumeration Date
27 June 2022
Last Update Date
16 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2013 (13 years ago)
PAC ID
4981084753
Professional Enrollment ID
I20251129000034
Address ID
OH441315058IN6801XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness85
Years active:3State licenses:1Digital endpointsOther names

241 THORACIC SURGERY in OH

Provider Addresses for ANIBAL IBANEZ MORA (MD)

  • 9500 EUCLID AVE # NA-23

    CLEVELAND, OH 441950001

    Phone:

    Type: Mailing

  • 200 SE HOSPITAL AVE # 2346

    STUART, FL 349942346

    Phone:

    Type: Mailing

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: 2025-11-29

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
I20251129000034IThoracic SurgeryFLTBD

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 44195)

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Reviews

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Frequently asked questions

Is there an official ID for ANIBAL IBANEZ MORA (MD) in U.S. healthcare records?
The official identifier for ANIBAL IBANEZ MORA (MD) is NPI 1205568557.
Active or inactive — what applies to ANIBAL IBANEZ MORA (MD)?
You should see ANIBAL IBANEZ MORA (MD) as active in CMS-hosted NPPES data.
How would a patient describe ANIBAL IBANEZ MORA (MD)'s focus?
For ANIBAL IBANEZ MORA (MD), the primary taxonomy reads as Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician. Clinical services aligned with this taxonomy classification.
Is ANIBAL IBANEZ MORA (MD) located near Cleveland?
ANIBAL IBANEZ MORA (MD) currently maps to Cleveland, Ohio in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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