DR. ADEL IBRAHIM (O.D.) – Optometrist, NPI 1023100104

DR. ADEL IBRAHIM (O.D.) is a healthcare provider. based in Vienna, Virginia. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. TA1770 (MD). The NPI Number for DR. ADEL IBRAHIM (O.D.) is 1023100104

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. ADEL IBRAHIM (O.D.)
NPI
1023100104
Phone
(703) 847-8899
Address
1950 Old Gallows Rd
Enumeration Date
28 September 2006
Last Update Date
30 January 2018

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Secondary Phone
5716708110
Graduation Year
1996 (30 years ago)
PAC ID
1254580632
Group Practice PAC ID
0143448456
Professional Enrollment ID
I20120928000032
Address ID
VA223021921AL3690XSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,052 OPTOMETRY in VA

Provider Addresses for DR. ADEL IBRAHIM (O.D.)

  • 1950 Old Gallows Rd

    SUITE 520

    Vienna, VA 221823990

    Phone: (703) 847-8899

    Fax: (703) 991-0514

    Type: Location

  • 1950 OLD GALLOWS RD

    SUITE 520

    VIENNA, VA 221823990

    Phone: (703) 847-8899

    Fax: (866) 795-4020

    Type: Mailing

  • Silver Street, Salisbury, Litchfield County, Connecticut, 01257, United States

    SILVER SPRING, MD 209062912

    Phone: (301) 438-0555

    Fax: (301) 438-0556

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $1,084.

Total Amount is formed as General ($1,084) + Research ($0) + Ownership ($0) = $1,084.

Last reported payment date: 2024-10-10 • Largest payer in this snapshot: Alcon Vision LLC ($685).

Total Amount

$1,084

General + Research + Ownership

Payments

15

Total payment records

General Amount

$1,084

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-10

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: 2014-12-19

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
I20120928000032IOptometryDCTBD
I20141219001438IOptometryMDTBD

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 22182)

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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: 0143448456View full group profile
NameSpecialtyState
O P T O M E T R YVA
O P T O M E T R YVA
O P T O M E T R YVA
O P T O M E T R YVA
O P T O M E T R YDC
O P T O M E T R YVA
O P T O M E T R YVA
O P T O M E T R YVA
-VA
O P T O M E T R YVA

Reviews

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Frequently asked questions

Is there an official ID for DR. ADEL IBRAHIM (O.D.) in U.S. healthcare records?
The official identifier for DR. ADEL IBRAHIM (O.D.) is NPI 1023100104.
Would DR. ADEL IBRAHIM (O.D.) appear as active to a payer?
You can treat DR. ADEL IBRAHIM (O.D.) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for DR. ADEL IBRAHIM (O.D.)?
At a glance, DR. ADEL IBRAHIM (O.D.) is tied to Optometrist. Clinical services aligned with this taxonomy classification.
Where in Virginia is DR. ADEL IBRAHIM (O.D.) registered?
Use Vienna, Virginia as the headline location for DR. ADEL IBRAHIM (O.D.) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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