Individual provider Active NPI

Hanan Ibrahim Sheikh Ibrahim, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Rochester, NY
National Provider Identifier
1003426222
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
304955 Issued in NY
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

Updated by the provider on Aug 3, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201124002742 NY Practitioner - Internal Medicine 6800888207 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital CurrentSince Nov 1, 2020 Accepting new patients
Rochester General Hospital Geriatric Medicine CurrentSince Nov 1, 2020 Accepting new patients
Clifton Springs Sanitarium Co CurrentSince Nov 1, 2020 Accepting new patients
The Unity Hospital of Rochester CurrentSince Nov 1, 2020 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.

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

Verify at the official NPI Registry.