Active NPI
Mohammad S Ibrahim, MD
- Neurocritical Care Physician
- El Paso, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurocritical Care Physician
- License
- V5680
- Practice address
- 4801 Alberta Ave
El Paso, TX 79905-2707 - Phone
- (915) 215-5900
- Fax
- (915) 215-8615
- NPI assigned
- Aug 11, 2006
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 241282 | NY | |
| Neurocritical Care Physician | 2084A2900X | V5680 | TX | Primary |
| Neurology Physician | 2084N0400X | 4301102124 | MI | |
| Neurology Physician | 2084N0400X | V5680 | TX | |
| Neurology Physician | 2084N0400X | 25MA08715100 | NJ | |
| Vascular Neurology Physician | 2084V0102X | V5680 | TX |
Addresses
Primary practice location
4801 Alberta Ave
El Paso, TX 79905-2707
Mailing address
5130 Gateway Blvd E
El Paso, TX 79905-1608
Phone (915) 215-4480
Other practice location 1
4201 Saint Antoine St
Suite 8A
Detroit, MI 48201-2153
Phone (313) 745-4275
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0252263 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ, MI, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4801 Alberta Ave
El Paso, TX 79905-2707
Phone (915) 215-5300
901 W Main St
Suite 267
Freehold, NJ 07728-2537
Phone (732) 786-3191
Hospital & facility affiliations
- University Medical Center of El Paso
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA08715100 | NJ | MD | Neurology Physician |
| V5680 | TX | MD | Neurology Physician |
Practice roles
Locations (25 of 26)
4201 Saint Antoine St
Ste 8A
Detroit, MI 48201
Phone (313) 577-8114
4100 John R St
Detroit, MI 48201
Phone (313) 576-8530
1560 E Maple Rd
Ste 400
Troy, MI 48083
1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200
65 James St
Edison, NJ 08820
Phone (732) 321-7010
225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204
901 W Main St
Ste 267
Freehold, NJ 07728
Phone (732) 333-8702
727 N Beers St
Holmdel, NJ 07733
Phone (732) 714-2700
600 River Ave
Lakewood, NJ 08701
Phone (732) 363-1900
300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200
230 E Ridgewood Ave
Paramus, NJ 07652
Phone (201) 225-4700
1 Plainsboro Rd
Plainsboro, NJ 08536
Phone (609) 853-7000
66 W Gilbert St
Tinton Falls, NJ 07701
Phone (732) 212-0051
66 W Gilbert St
Fl 2
Tinton Falls, NJ 07701
Phone (732) 212-0051
66 W Gilbert St
Ste 100
Tinton Falls, NJ 07701
Phone (201) 795-8637
425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200
466 Bay Ridge Ave
Brooklyn, NY 11220
Phone (718) 491-2007
200 Old Country Rd
Ste 125
Mineola, NY 11501
Phone (516) 408-4900
259 1st St
Mineola, NY 11501
Phone (516) 576-1820
200 Old Country Rd
Ste 370
Mineola, NY 11501
Phone (516) 541-0300
300 Community Dr
Plandome, NY 11030
475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855
4521 Arthur Kill Rd
Fl 2
Staten Island, NY 10309
95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961
972 Brush Hollow Rd
Westbury, NY 11590
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EJFEBD
- mibrahim@direct.dmc.org
Organizations & group practices 15
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.
-
- Internal Medicine Physician
- El Paso, TX
- NPI 1598705055
-
- Neurology Physician
- Freehold, NJ
- NPI 1427547199
-
- Multi-Specialty Clinic/Center
- Staten Island, NY
- NPI 1225688419
-
- Hospitalist Physician
- Freehold, NJ
- NPI 1346647328
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1447299797
-
- Surgery Physician
- Valhalla, NY
- NPI 1912131392
-
- Neurological Surgery Physician
- El Paso, TX
- NPI 1457913444
-
- Surgery Physician
- El Paso, TX
- NPI 1538240478
-
- Optometrist
- Detroit, MI
- NPI 1063452233
-
- Anesthesiology Physician
- Valhalla, NY
- NPI 1740687458
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- El Paso, TX
- NPI 1316936990
-
- General Acute Care Hospital
- El Paso, TX
- NPI 1619747938
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759881600000",
"number": "1114938404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5130 GATEWAY BLVD E",
"city": "EL PASO",
"state": "TX",
"postal_code": "799051608",
"telephone_number": "915-215-4480",
"fax_number": "915-215-5386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 ALBERTA AVE",
"city": "EL PASO",
"state": "TX",
"postal_code": "799052707",
"telephone_number": "915-215-5900",
"fax_number": "915-215-8615"
}
],
"practiceLocations": [
{
"address_1": "4201 Saint Antoine St",
"address_2": "Suite 8A",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482012153",
"country_code": "US",
"telephone_number": "313-745-4275",
"fax_number": "313-745-4468",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IBRAHIM",
"first_name": "MOHAMMAD",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-11",
"last_updated": "2025-10-08",
"certification_date": "2025-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "241282",
"primary": false
},
{
"code": "2084A2900X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurocritical Care",
"state": "TX",
"license": "V5680",
"primary": true
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MI",
"license": "4301102124",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TX",
"license": "V5680",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NJ",
"license": "25MA08715100",
"primary": false
},
{
"code": "2084V0102X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Vascular Neurology",
"state": "TX",
"license": "V5680",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0252263",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; 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.