Individual provider Active NPI

Ayman Alibrahim, M.D.

  • Allergy & Immunology Physician
  • Lecanto, FL
National Provider Identifier
1063469104
Registry record updated Apr 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
ME86742 Issued in FL
Practice address
508 N Lecanto Hwy
Lecanto, FL 34461-8547
Phone
(352) 746-3336
Fax
(352) 746-3305
NPI assigned
May 27, 2006
Last updated
Apr 23, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X ME86742 FL Primary

Addresses

Primary practice location

508 N Lecanto Hwy
Lecanto, FL 34461-8547

Mailing address

PO Box 127
Lecanto, FL 34460-0127
Phone (352) 746-3336

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20070316000085 FL Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 8123121944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Pediatric Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11341 Cortez Blvd
Brooksville, FL 34613-5404
Phone (352) 596-2715

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Allergy Asthma&Immunology Allergy & Immunology CurrentSince Feb 14, 2007 Accepting new patients
Neurosurgical Spine Center. Inc PastSince Feb 14, 2007 Accepting new patients
All Pediatric Care, P.a. Allergy & Immunology Past Accepting new patients

Locations

11341 Cortez Blvd
Brooksville, FL 34613
Phone (352) 596-2715

2349 N Lecanto Hwy
Lecanto, FL 34461

508 N Lecanto Hwy
Lecanto, FL 34461
Phone (352) 689-1252

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240444800000",
    "number": "1063469104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 127",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344600127",
            "telephone_number": "352-746-3336",
            "fax_number": "352-746-3305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 N LECANTO HWY",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344618547",
            "telephone_number": "352-746-3336",
            "fax_number": "352-746-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALIBRAHIM",
        "first_name": "AYMAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2009-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "ME86742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lecanto, FL

Sources for this page

Verify at the official NPI Registry.