Active NPI
Hanan Ibrahim Sheikh Ibrahim, MD
- Geriatric Medicine (Internal Medicine) Physician
- Rochester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 304955
- Practice address
- 1415 Portland Ave Ste 200
Rochester, NY 14621-3022 - Phone
- (585) 922-0390
- Fax
- (585) 922-0395
- NPI assigned
- Aug 3, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 304955 | NY | Primary |
Addresses
Primary practice location
1415 Portland Ave Ste 200
Rochester, NY 14621-3022
Mailing address
100 Kings Hwy S
Rochester, NY 14617-5504
Phone (585) 922-0390
Other practice location 1
2 Coulter Rd
Clifton Springs, NY 14432-1122
Phone (315) 462-9561
Other practice location 2
105 Canal Landing Blvd Ste 1
Rochester, NY 14626-5107
Phone (585) 368-4050
Other practice location 3
1550 Empire Blvd
Webster, NY 14580-2104
Phone (585) 671-4300
Other practice location 4
100 Sunset Dr
Newark, NY 14513-1068
Phone (315) 332-2337
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rochester General Hospital | Current | Accepting new patients | |
| Rochester General Hospital | Geriatric Medicine | Current | Accepting new patients |
| Clifton Springs Sanitarium Co | Current | Accepting new patients | |
| The Unity Hospital of Rochester | Current | Accepting new patients | |
| The Unity Hospital of Rochester | Current | Accepting new patients | |
| Rochester General Hospital | Past | Accepting new patients |
Locations
2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472
100 Sunset Dr
Newark, NY 14513
Phone (315) 332-2337
1415 Portland Ave
Rochester, NY 14621
Phone (585) 275-7741
1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289
100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553
1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122
1415 Portland Ave
Ste 200
Rochester, NY 14621
Phone (585) 922-0390
105 Canal Landing Blvd
Ste 1
Rochester, NY 14626
Phone (585) 368-4050
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Clifton Springs, NY
- NPI 1366505463
-
- Family Medicine Physician
- Rochester, NY
- NPI 1356412712
Geriatric Medicine
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1760421713
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1255360517
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1457395766
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1063531929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596412800000",
"number": "1003426222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 KINGS HWY S",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146175504",
"telephone_number": "585-922-0390",
"fax_number": "585-922-0395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 PORTLAND AVE STE 200",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146213022",
"telephone_number": "585-922-0390",
"fax_number": "585-922-0395"
}
],
"practiceLocations": [
{
"address_1": "2 Coulter Rd",
"address_purpose": "LOCATION",
"city": "Clifton Springs",
"state": "NY",
"postal_code": "144321122",
"country_code": "US",
"telephone_number": "315-462-9561",
"fax_number": "315-462-2638",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "105 Canal Landing Blvd Ste 1",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146265107",
"country_code": "US",
"telephone_number": "585-368-4050",
"fax_number": "585-723-6705",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1550 Empire Blvd",
"address_purpose": "LOCATION",
"city": "Webster",
"state": "NY",
"postal_code": "145802104",
"country_code": "US",
"telephone_number": "585-671-4300",
"fax_number": "585-922-2388",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Sunset Dr",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "NY",
"postal_code": "145131068",
"country_code": "US",
"telephone_number": "315-332-2337",
"fax_number": "315-332-2702",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHEIKH IBRAHIM",
"first_name": "HANAN",
"middle_name": "IBRAHIM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-03",
"last_updated": "2020-08-03",
"certification_date": "2020-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "NY",
"license": "304955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.