Ahmad Machhour Ibrahimbacha, M,D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

36119 Issued in TN

Practice address

110 Dunhill PL NW
Cleveland, TN 37311-3883

Phone

(423) 476-2212

Fax

(423) 476-7022

NPI assigned

May 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Bradley Polk Walk in Clinic

  • Rural Health Clinic/Center
  • Ocoee, TN
  • NPI 1770929333

  5% Or Greater Direct Ownership Interest, Contracted Managing Employee, Corporate Officer

  CMS ownership

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.

• Blue Ridge Pulmonary Medicine, PC

  • Pulmonary Disease Physician
  • Cleveland, TN
  • NPI 1487601019

  Pulmonary Disease, TN

  Medicare reassignment Care Compare group NPD
• Bradley Polk Walk in Clinic

  • Rural Health Clinic/Center
  • Ocoee, TN
  • NPI 1770929333

  TN

  Medicare reassignment Care Compare group NPD
• Gastrointestinal Associates of Cleveland, PC

  • Gastroenterology Physician
  • Cleveland, TN
  • NPI 1316981087
  NPD
• Sleep Labs of the South LLC

  • Physiological Laboratory
  • Cleveland, TN
  • NPI 1912936139
  NPD
• Blue Ridge Gastroenterology, PC

  • Gastroenterology Physician
  • Cleveland, TN
  • NPI 1891801296
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Athens Regional Medical Center LLC

  • General Acute Care Hospital
  • Athens, TN
  • NPI 1669567319

  Hospital

  Care Compare affiliation
• Bradley Medical Center, LLC

  • General Acute Care Hospital
  • Cleveland, TN
  • NPI 1255171096

  Hospital

  Care Compare affiliation
• Rhea Medical Center

  • Critical Access Hospital
  • Dayton, TN
  • NPI 1811987084

  Hospital

  Care Compare affiliation
• Hamilton Medical Center, Inc.

  • General Acute Care Hospital
  • Dalton, GA
  • NPI 1528056066

  Hospital

  Care Compare affiliation
• Hamilton Medical Center, Inc.

  • Psychiatric Hospital Unit
  • Dalton, GA
  • NPI 1760645782

  Hospital

  Care Compare affiliation
• Hamilton Physician Group Inc

  • Cardiovascular Disease Physician
  • Dalton, GA
  • NPI 1235455569

  Hospital

  Care Compare affiliation

Specialty

Pulmonary DiseaseAlso: Sleep Medicine

Education

Other, 1982

Medicare assignment

May accept Medicare assignment

Group practices

Blue Ridge Pulmonary Medicine, PC 4 clinicians

Bradley Polk Walk in Clinic 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Affiliate of Vitruvian Health Hospital, Cleveland, TN, CCN 440185
• Rhea Medical Center Hospital, Dayton, TN, CCN 441310
• Hamilton Medical Center Hospital, Dalton, GA, CCN 110001
• Starr Regional Medical Center Athens Hospital, Athens, TN, CCN 440068

Merit-based Incentive Payment System (MIPS)

Final score

23.79 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

79.3

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1043266752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 DUNHILL PL NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113883",
            "telephone_number": "423-476-2212",
            "fax_number": "423-476-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 DUNHILL PL NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113883",
            "telephone_number": "423-476-2212",
            "fax_number": "423-476-7022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIMBACHA",
        "first_name": "AHMAD",
        "middle_name": "MACHHOUR",
        "credential": "M,D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "36119",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "TN",
            "license": "36119",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TN",
            "license": "36119",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3877399",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE RDG PUL MED TX ID",
            "identifier": "621482378",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "3702756",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Billy Hurt, PHARM D
• Rickey Ladon Hutcheson, D.O.
• Kristen Hyatt, PHARMD
• In Touch Optical Inc
• Independent Physical Therapy
• Independent Physical Therapy
• Independent Physical Therapy LLC
• Integrity Wellness of Cleveland, LLC

• All providers in Cleveland, TN
• Pulmonary Disease Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.