WALEED IBRAHIM (M.D.) – Diagnostic Radiology Physician, NPI 1154673713

WALEED IBRAHIM (M.D.) is a healthcare provider. based in Annandale, Virginia. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 4301072946 (MI). The NPI Number for WALEED IBRAHIM (M.D.) is 1154673713

Main info

Male
Sole Proprietor
38 Years Of Experience
Accepts Medicare Assignment
Name
WALEED IBRAHIM (M.D.)
NPI
1154673713
Phone
(760) 444-3076
Address
4723 COMMONS DR
Enumeration Date
8 October 2012
Last Update Date
22 November 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9106104172
Graduation Year
1988 (38 years ago)
PAC ID
4082687462
Group Practice PAC ID
0648208504
Professional Enrollment ID
I20040830000203
Address ID
NC283525501LA500XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:13State licenses:2Digital endpointsOther names

1,529 DIAGNOSTIC RADIOLOGY in VA

Provider Addresses for WALEED IBRAHIM (M.D.)

  • 4723 COMMONS DR

    APT 304

    ANNANDALE, VA 220035066

    Phone: (760) 444-3076

    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)

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: 2025-12-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 6 Medicare enrollment records; no due dates published yet.

Enrollment records

6

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
I20040830000203IDiagnostic RadiologyNCTBD
I20230428002051IDiagnostic RadiologyOHTBD
I20240612000630IDiagnostic RadiologyPATBD
I20240626003997IDiagnostic RadiologyNYTBD
I20240909004390IDiagnostic RadiologySCTBD
I20251217003444IDiagnostic RadiologyFLTBD

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
71045X-ray of chest, 1 view405311$0
71046X-ray of chest, 2 views114113$0
71260Ct scan of chest with contrast7272$0
74177Ct scan of abdomen and pelvis with contrast6060$0
70450Ct scan head or brain without contrast5654$0
View full utilization report →

Insurance plans in this area (ZIP 22003)

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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: 0648208504View full group profile
NameSpecialtyState
Diagnostic RadiologyGA
-SC
-SC
Diagnostic RadiologyNC
Diagnostic Radiology, NeurologyNC
Certified Registered Nurse Anesthetist (Crna)VA
Diagnostic RadiologyNC
Qualified AudiologistNC
Diagnostic RadiologyNH
Diagnostic Radiology, Interventional RadiologyMO

Reviews

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Frequently asked questions

How do I look up WALEED IBRAHIM (M.D.) by NPI?
Use NPI 1154673713 when you need to reference WALEED IBRAHIM (M.D.) in forms, claims, or directories.
Is WALEED IBRAHIM (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does WALEED IBRAHIM (M.D.) work in?
You can think of WALEED IBRAHIM (M.D.) as practicing within Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Does WALEED IBRAHIM (M.D.) practice in Virginia?
You will see Annandale, Virginia on file for WALEED IBRAHIM (M.D.) alongside any extra practice locations.
Is WALEED IBRAHIM (M.D.) a real provider?
This page reflects official NPPES data for NPI 1154673713. Always confirm identity and privileges with the practice and licensing boards.