Individual provider Active NPI

Ibrahim Eid, M.D.

  • Vascular Surgery Physician
  • Fall River, MA
National Provider Identifier
1083616148
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
213070 Issued in MA
Practice address
901 S Main St
Fall River, MA 02724-2923
Phone
(508) 673-4329
Fax
(508) 679-6669
NPI assigned
Jun 2, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 213070 MA Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 213070 MA

Addresses

Primary practice location

901 S Main St
Fall River, MA 02724-2923

Mailing address

901 S Main St
Fall River, MA 02724-2923
Phone (508) 673-4329

Other practice location 1

1661 Worcester Rd Ste 101
Framingham, MA 01701-5401
Phone (508) 475-9959

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20031204000901 MA Practitioner - Vascular SurgeryPractitioner - General Surgery 2668377482 Reassigns benefits to 1 organization
I20060608000325 RI Practitioner - Vascular SurgeryPractitioner - General Surgery 2668377482 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prima Care, PCGroup PAC ID 2567356017, 222 clinicians

Practice addresses (Care Compare)

1040 Charles St
North Providence, RI 02904-4916
Phone (401) 351-4041

19 Friendship St
Unit 150
Newport, RI 02840-2200
Phone (401) 849-3791

215 Toll Gate Rd
Suite 106
Warwick, RI 02886-4462
Phone (401) 351-4041

277 Pleasant St
Fall River, MA 02721-3005

901 S Main St
Fall River, MA 02724-2943
Phone (508) 673-4329

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal21
Leg revascularization (restoring blood flow)68
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prima Care, PC Multi-Specialty CurrentSince Sep 3, 2002 Accepting new patients
Prima Care, PC Multi-Specialty CurrentSince Sep 3, 2002 Accepting new patients
JSB Wellness, LLC Multi-Specialty Past Accepting new patients
Mercho Roushdi Dilley Jacob Thoracovascular Corportation Multi-Specialty Past Accepting new patients
Major Hospital Multi-Specialty Past Accepting new patients
Indiana Vascular Surgeons, PC Multi-Specialty Past Accepting new patients
JSB Wellness, LLC Multi-Specialty Past Accepting new patients

Locations

901 S Main St
Fall River, MA 02724
Phone (508) 673-4329

363 Highland Ave
Fall River, MA 02720
Phone (508) 679-7052

222 Milliken Blvd
Fall River, MA 02721
Phone (508) 672-7525

277 Pleasant St
Fl 4
Fall River, MA 02721
Phone 50867632921244

67 Slades Ferry Ave
Somerset, MA 02726
Phone (508) 673-9400

19 Friendship St
Newport, RI 02840
Phone (401) 845-4340

19 Friendship St
Unit 150
Newport, RI 02840
Phone (401) 848-6042

1040 Charles St
North Providence, RI 02904
Phone (508) 676-3929

Interoperability endpoints

  • Direct secure messaging: ibrahim.eid@prima.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/EJJCDD/Endpoint/EJJCDD

Organizations & group practices 7

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1117670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1083616148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 S MAIN ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027242923",
            "telephone_number": "508-673-4329",
            "fax_number": "508-679-6669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 S MAIN ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027242923",
            "telephone_number": "508-673-4329",
            "fax_number": "508-679-6669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1661 Worcester Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Framingham",
            "state": "MA",
            "postal_code": "017015401",
            "country_code": "US",
            "telephone_number": "508-475-9959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EID",
        "first_name": "IBRAHIM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-02",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MA",
            "license": "213070",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "213070",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.