Active NPI
Ahmed Emad Ibrahim Mohamed Ibrahim
- Pediatrics Physician
- Springfield, IL
National Provider Identifier
1104735893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 125.087248
- Practice address
- 400 N 9TH St Ste 4a
Springfield, IL 62702-5310 - Phone
- (217) 545-2905
- NPI assigned
- Sep 7, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 125.087248 | IL | Primary |
Addresses
Primary practice location
400 N 9TH St Ste 4a
Springfield, IL 62702-5310
Mailing address
PO Box 19658
Springfield, IL 62794-9658
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788739200000",
"number": "1104735893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19658",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627949658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N 9TH ST STE 4A",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627025310",
"telephone_number": "217-545-2905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IBRAHIM",
"first_name": "AHMED EMAD IBRAHIM MOHAMED",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-07",
"last_updated": "2026-09-07",
"certification_date": "2026-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "125.087248",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.