ELLAHEH EBRAHIM (M.D.) – Family Medicine Physician, NPI 1972833754
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,705 FAMILY PRACTICE in TX
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Provider Addresses for ELLAHEH EBRAHIM (M.D.)
Community Healthcare Center, 200, Martin Luther King Jr. Boulevard, Wichita Falls, Wichita County, Texas, 76301, United States
WICHITA FALLS, TX 763011152
Phone: (940) 766-6306
Fax: (940) 766-6504
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $177.
Total Amount is formed as General ($177) + Research ($0) + Ownership ($0) = $177.
Last reported payment date: 2024-02-26 • Largest payer in this snapshot: Carestream Dental, LLC ($114).
Total Amount
$177
General + Research + Ownership
Payments
4
Total payment records
General Amount
$177
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Carestream Dental, LLC | $114 |
| GlaxoSmithKline, LLC. | $43 |
| SANOFI PASTEUR INC. | $20 |
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: 2016-02-10
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160210002921 | I | Family Practice | TX | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 81003 | Automated urinalysis test | 148 | 120 | $0 |
| 71046 | X-ray of chest, 2 views | 54 | 47 | $0 |
| 93005 | Routine electrocardiogram (ecg) using at least 12 leads with tracing | 47 | 46 | $0 |
| 87430 | Detection test by immunoassay technique for streptococcus, group a (strep) | 39 | 36 | $0 |
| 87880 | Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 20 | 19 | $0 |
Insurance plans in this area (ZIP 76301)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| Clinical Social Worker | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| Gastroenterology, Internal Medicine | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| - | TX | |
| - | TX | |
| - | TX | |
| Family Practice | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX |
Reviews
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