EMIL K IBRAHIM (M.D.) – Psychiatry Physician, NPI 1265426043

EMIL K IBRAHIM (M.D.) is a healthcare provider. based in Westlake, Ohio. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. 35896-20 (WI). The NPI Number for EMIL K IBRAHIM (M.D.) is 1265426043

Main info

Male
Sole Proprietor
55 Years Of Experience
Accepts Medicare Assignment
Name
EMIL K IBRAHIM (M.D.)
NPI
1265426043
Phone
(440) 617-9833
Address
25125 DETROIT RD
Enumeration Date
7 September 2005
Last Update Date
16 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8333518255
Graduation Year
1971 (55 years ago)
PAC ID
1951460583
Group Practice PAC ID
4880064070
Professional Enrollment ID
I20190129000574
Address ID
FL323011570TA101XXSTXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness75
Years active:20State licenses:3Digital endpointsOther names

1,244 PSYCHIATRY in OH

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Provider Addresses for EMIL K IBRAHIM (M.D.)

  • 25125, Detroit Road, Westlake, Cuyahoga County, Ohio, 44145, United States

    SUITE 140

    WESTLAKE, OH 441452547

    Phone: (440) 617-9833

    Type: Mailing

  • 1800 Mercy Dr

    Orlando, FL 328085646

    Phone: (407) 875-3700

    Type: Location

  • 114 W 7TH ST STE 900

    AUSTIN, TX 787013013

    Phone: (512) 838-4264

    Type: Mailing

  • 1035 S STATE ROAD 7 STE 209

    WELLINGTON, FL 334146136

    Phone: (561) 448-1632

    Type: Location

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: 2019-01-29

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
I20081111000450IPsychiatryOHTBD
I20190129000574IPsychiatryFLTBD

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 44145)

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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: 4880064070View full group profile
NameSpecialtyState
P S Y C H I A T R YFL
P S Y C H I A T R YMI
P S Y C H I A T R YNY
Clinical Social WorkerFL
P S Y C H I A T R YFL
P S Y C H I A T R YIN
P S Y C H I A T R YCO
P S Y C H I A T R YNY
Clinical Social WorkerMA
P S Y C H I A T R YNY

Reviews

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Frequently asked questions

What is the registry number for EMIL K IBRAHIM (M.D.)?
The registry entry for EMIL K IBRAHIM (M.D.) shows NPI 1265426043.
Should I treat EMIL K IBRAHIM (M.D.) as an active provider?
Patients and plans typically see EMIL K IBRAHIM (M.D.) as active in the national extract.
What type of care does EMIL K IBRAHIM (M.D.) provide?
EMIL K IBRAHIM (M.D.)'s profile centers on Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What city is tied to EMIL K IBRAHIM (M.D.)?
The directory associates EMIL K IBRAHIM (M.D.) with Westlake, Ohio. Check all listed addresses for suites or satellite offices.
Why is information missing for EMIL K IBRAHIM (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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