Individual provider Active NPI

Mohammad S Ibrahim, MD

  • Neurocritical Care Physician
  • El Paso, TX
National Provider Identifier
1114938404
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurocritical Care PhysicianTaxonomy code 2084A2900X
License
V5680 Issued in TX
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

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0252263MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, MI, TX4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20070316000020 NY Practitioner - Neurology 7719080522 Reassigns benefits to 3 organizations
I20110311000238 NJ Practitioner - Neurology 7719080522 Reassigns benefits to 3 organizations
I20130204000113 MI Practitioner - NeurologyPractitioner - Critical Care (Intensivists) 7719080522 Reassigns benefits to 1 organization
I20251021001468 TX Practitioner - Neurology 7719080522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Tech University Health Sciences Center El PasoGroup PAC ID 7517864754, 306 clinicians
Caring Neurology LLCGroup PAC ID 6002162898, 10 clinicians

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 Hospital, El Paso, TX, CCN 450024

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA08715100NJMDNeurology Physician
V5680TXMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Holmdel Physician Associates CurrentSince Jul 2, 2022 Accepting new patients
ICU NJ, PC Specialist CurrentSince Dec 20, 2023 Accepting new patients
North Shore-Lij Medical PC CurrentSince Dec 18, 2019 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC CurrentSince Feb 1, 2023 Accepting new patients
Caring Neurology LLC Neurology CurrentSince Apr 7, 2025 Accepting new patients
Texas Tech University Health Sciences Center El Paso Current Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Feb 1, 2023 Accepting new patients
Artisans Ambulatory Medical Care PLLC CurrentSince Aug 28, 2023 Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Oct 1, 2025 Accepting new patients
University Physician Group CurrentSince Mar 1, 2013 Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Oct 1, 2025 Accepting new patients
University Physician Group CurrentSince Mar 1, 2013 Accepting new patients
464 Bay Ridge Medical PLLC PastSince Aug 28, 2023 Accepting new patients
Texas Tech University Health Sciences Center Odessa Past Accepting new patients
University Physician Group Past Accepting new patients

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

  • FHIR API: https://fhir4.healow.com/fhir/r4/EJFEBD
  • Direct secure messaging: 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.

View all 15

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.