KHALDA IBRAHIM – Clinical Informatics (Pathology) Physician, NPI 1013329374

KHALDA IBRAHIM is a healthcare provider. based in Seattle, Washington. specializing in PATHOLOGY. They hold a License No. A168642 (CA). The NPI Number for KHALDA IBRAHIM is 1013329374

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
KHALDA IBRAHIM
NPI
1013329374
Phone
Not provided
Address
916 E FIR ST
Enumeration Date
21 May 2014
Last Update Date
5 August 2022

Doctor Profile

Medical School Name
JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3102672680
Graduation Year
2014 (12 years ago)
PAC ID
4688893811
Group Practice PAC ID
5597679233
Professional Enrollment ID
I20220511002755
Address ID
CA900364671LO5900XBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:12State licenses:1Digital endpointsOther names

369 PATHOLOGY in WA

Provider Addresses for KHALDA IBRAHIM

  • 916 E FIR ST

    SEATTLE, WA 981225412

    Phone:

    Type: Mailing

  • 757 Westwood Plz

    Los Angeles, CA 900957419

    Phone: (310) 562-6977

    Type: Location

  • 5767 W CENTURY BLVD STE 400

    LOS ANGELES, CA 900455631

    Phone: (310) 301-8732

    Type: Mailing

  • 10833 LE CONTE AVE

    LOS ANGELES, CA 900957419

    Phone: (310) 267-2680

    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: 2022-05-11

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
I20220511002755IPathologyCATBD

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
84165Protein measurement, serum939653$0
86334Immunologic analysis technique on serum (immunofixation)531416$0
84166Protein measurement, body fluid175165$0
View full utilization report →

Insurance plans in this area (ZIP 98122)

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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: 5597679233View full group profile
NameSpecialtyState
-CA
P A T H O L O G YCA
P A T H O L O G YND
P A T H O L O G YCA
P A T H O L O G YCA
P A T H O L O G YCA
P A T H O L O G YCA
P A T H O L O G YCA
P A T H O L O G YCA
P A T H O L O G YCA

Reviews

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Frequently asked questions

Can I verify KHALDA IBRAHIM with an NPI only?
You can start verification with NPI 1013329374 for KHALDA IBRAHIM, then check state licensing separately.
Does CMS list KHALDA IBRAHIM as active?
Yes — KHALDA IBRAHIM is active in the NPI listing used on this page.
What is KHALDA IBRAHIM's specialty?
The listing groups KHALDA IBRAHIM with Clinical Informatics (Pathology) Physician. Clinical services aligned with this taxonomy classification.
Does KHALDA IBRAHIM list a practice location?
Patients near Seattle, Washington may find KHALDA IBRAHIM in results; validate coverage separately.
Is the information about KHALDA IBRAHIM up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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