DR. VIVIAN SAMI EBRAHIM (M.D.) – Gastroenterology Physician, NPI 1073870440

DR. VIVIAN SAMI EBRAHIM (M.D.) is a healthcare provider. based in Greenville, Texas. specializing in GASTROENTEROLOGY. They hold the professional credentials M.D.. They hold a License No. R4961 (TX). The NPI Number for DR. VIVIAN SAMI EBRAHIM (M.D.) is 1073870440

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. VIVIAN SAMI EBRAHIM (M.D.)
NPI
1073870440
Phone
(903) 408-7980
Address
4211 JOE RAMSEY BLVD E STE 100
Enumeration Date
23 April 2012
Last Update Date
23 January 2024

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
9035582222
Graduation Year
2012 (14 years ago)
PAC ID
9739434747
Group Practice PAC ID
7618381054
Professional Enrollment ID
I20180615000170
Address ID
TX754822199SU1402XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

1,498 GASTROENTEROLOGY in TX

Provider Addresses for DR. VIVIAN SAMI EBRAHIM (M.D.)

  • 4211 JOE RAMSEY BLVD E STE 100

    GREENVILLE, TX 754017856

    Phone: (903) 408-7980

    Fax: (903) 408-7989

    Type: Mailing

  • 1216 CHURCH ST

    SULPHUR SPRINGS, TX 754822108

    Phone: (903) 558-2222

    Fax: (903) 558-2225

    Type: Mailing

  • 1402 MEDICAL DR

    SULPHUR SPRINGS, TX 754822199

    Phone: (903) 558-2222

    Fax: (903) 558-2225

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 55 Open Payments records for all available years, with a total value of $932.

Total Amount is formed as General ($932) + Research ($0) + Ownership ($0) = $932.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($518).

Total Amount

$932

General + Research + Ownership

Payments

55

Total payment records

General Amount

$932

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2018-06-15

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
I20180615000170IGastroenterologyTXTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes240156$0
99204New patient office or other outpatient visit, 45-59 minutes121121$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare9392$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope8680$0
45380Biopsy of large bowel using a flexible endoscope8282$0
View full utilization report →

Insurance plans in this area (ZIP 75401)

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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: 7618381054View full group profile
NameSpecialtyState
Physician AssistantTX
Gastroenterology, Internal MedicineTX

Reviews

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Frequently asked questions

Does DR. VIVIAN SAMI EBRAHIM (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. VIVIAN SAMI EBRAHIM (M.D.) uses 1073870440.
Can I rely on DR. VIVIAN SAMI EBRAHIM (M.D.) being an active provider?
As of the registry snapshot, DR. VIVIAN SAMI EBRAHIM (M.D.) is marked active.
What taxonomy line describes DR. VIVIAN SAMI EBRAHIM (M.D.)?
For research purposes, treat DR. VIVIAN SAMI EBRAHIM (M.D.) as Gastroenterology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. VIVIAN SAMI EBRAHIM (M.D.)?
DR. VIVIAN SAMI EBRAHIM (M.D.)'s geographic hint is Greenville, Texas in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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