Active NPI
Ghadeer Ibrahim, CRNP
- Family Nurse Practitioner
- Hagerstown, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R222016
- Practice address
- 13121 Brooklane Dr
Hagerstown, MD 21742-1514 - Phone
- (301) 733-0330
- NPI assigned
- Jun 25, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 108391 | WV | |
| Family Nurse Practitioner | 363LF0000X | SP023540 | PA | |
| Family Nurse Practitioner | 363LF0000X | R222016 | MD | Primary |
Addresses
Primary practice location
13121 Brooklane Dr
Hagerstown, MD 21742-1514
Mailing address
11116 Medical Campus Rd
Hagerstown, MD 21742-6710
Phone (301) 766-7600
Other practice location 1
905 Tower Rd Ste 3188
Bristol, PA 19007-3116
Phone (443) 383-9300
Other practice location 2
1050 W Industrial Blvd
Cumberland, MD 21502-4331
Phone (301) 733-0330
Other practice location 3
11116 Medical Campus Rd Ste 2989
Hagerstown, MD 21742-6710
Phone (301) 766-7600
Other practice location 4
8403 Colesville Rd Ste 1100
Silver Spring, MD 20910-6346
Phone (443) 383-9300
Other practice location 5
1263 S George St # A
Charles Town, WV 25414-4384
Phone (443) 383-9300
Other practice location 6
18714 N Village
Hagerstown, MD 21742-2454
Phone (301) 733-0330
Other practice location 7
4540 Mack Ave Ste B
Frederick, MD 21703-3303
Phone (301) 733-0330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, WV, DC, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210222002151 | MD | Practitioner - Nurse Practitioner | 9537574744 | Reassigns benefits to 2 organizations |
| I20221031002253 | WV | Practitioner - Nurse Practitioner | 9537574744 | Reassigns benefits to 1 organization |
| I20221101001841 | DC | Practitioner - Nurse Practitioner | 9537574744 | Reassigns benefits to 3 organizations |
| I20221101002827 | PA | Practitioner - Nurse Practitioner | 9537574744 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
11116 Medical Campus Rd
Hagerstown, MD 21742-6710
Phone (301) 790-8000
141 S Main St
Boonsboro, MD 21713-1203
Phone (301) 991-4654
303 Adclare Rd
Rockville, MD 20850-3825
Phone (301) 991-4654
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meritus Medical Center Inc | Current | Accepting new patients | |
| Consonant Healing Associates of de LLC | Current | Accepting new patients | |
| Consonant Healing Medical Associates | Current | Accepting new patients | |
| Varahe Health Services LLC | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
141 S Main St
Boonsboro, MD 21713
Phone (301) 432-5457
919 Seton Dr
Cumberland, MD 21502
Phone (301) 777-0622
11116 Medical Campus Rd
Ste 2989
Hagerstown, MD 21742
Phone (301) 766-7600
11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600
303 Adclare Rd
Rockville, MD 20850
Phone (301) 279-9000
8403 Colesville Rd
Ste 1100
Silver Spring, MD 20910
Phone (301) 905-7762
909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300
905 Tower Rd
Ste 3188
Bristol, PA 19007
Phone (443) 483-9300
905 Tower Rd
#3188
Bristol, PA 19007
Phone (215) 785-3201
1263 S George St
Ste A
Charles Town, WV 25414
1263 S George St
#A
Charles Town, WV 25414
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 5
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.
-
- Geriatric Medicine (Family Medicine) Physician
- Rockville, MD
- NPI 1811727753
DC, MD
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774224000000",
"number": "1053937060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11116 MEDICAL CAMPUS RD",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217426710",
"telephone_number": "301-766-7600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13121 BROOKLANE DR",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217421514",
"telephone_number": "301-733-0330"
}
],
"practiceLocations": [
{
"address_1": "905 Tower Rd Ste 3188",
"address_purpose": "LOCATION",
"city": "Bristol",
"state": "PA",
"postal_code": "190073116",
"country_code": "US",
"telephone_number": "443-383-9300",
"fax_number": "855-866-8710",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1050 W Industrial Blvd",
"address_purpose": "LOCATION",
"city": "Cumberland",
"state": "MD",
"postal_code": "215024331",
"country_code": "US",
"telephone_number": "301-733-0330",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11116 Medical Campus Rd Ste 2989",
"address_purpose": "LOCATION",
"city": "Hagerstown",
"state": "MD",
"postal_code": "217426710",
"country_code": "US",
"telephone_number": "301-766-7600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8403 Colesville Rd Ste 1100",
"address_purpose": "LOCATION",
"city": "Silver Spring",
"state": "MD",
"postal_code": "209106346",
"country_code": "US",
"telephone_number": "443-383-9300",
"fax_number": "855-866-8710",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1263 S George St # A",
"address_purpose": "LOCATION",
"city": "Charles Town",
"state": "WV",
"postal_code": "254144384",
"country_code": "US",
"telephone_number": "443-383-9300",
"fax_number": "855-866-8710",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "18714 N Village",
"address_purpose": "LOCATION",
"city": "Hagerstown",
"state": "MD",
"postal_code": "217422454",
"country_code": "US",
"telephone_number": "301-733-0330",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4540 Mack Ave Ste B",
"address_purpose": "LOCATION",
"city": "Frederick",
"state": "MD",
"postal_code": "217033303",
"country_code": "US",
"telephone_number": "301-733-0330",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IBRAHIM",
"first_name": "GHADEER",
"name_prefix": "Dr.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-25",
"last_updated": "2026-03-23",
"certification_date": "2026-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WV",
"license": "108391",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP023540",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R222016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; 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.
- 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.