Active NPI
Moayed Ibrahim, MD
- Hematology & Oncology Physician
- Minot, ND
National Provider Identifier
1124400742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 17816
- Practice address
- 831 S Broadway
Minot, ND 58701-4636 - Phone
- (701) 857-3534
- Fax
- (701) 857-5171
- NPI assigned
- Jun 19, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 17816 | ND | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
831 S Broadway
Minot, ND 58701-4636
Mailing address
PO Box 5010
Minot, ND 58702-5010
Phone (701) 418-8000
Other practice location 1
1 Baylor Plz
Houston, TX 77030-3411
Phone (713) 798-4951
Other practice location 2
2305 37th Ave SW
Minot, ND 58701-7669
Phone (701) 418-8000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
Organizations & group practices 6
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.
-
- Clinical Medical Laboratory
- Williston, ND
- NPI 1316273998
-
- Ambulatory Surgical Clinic/Center
- Williston, ND
- NPI 1538214689
-
- Eyewear Supplier
- Minot, ND
- NPI 1982770996
-
- Oral and Maxillofacial Surgery Clinic/Center
- Minot, ND
- NPI 1245272277
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Minot, ND
- NPI 1629636204
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Fargo, ND
- NPI 1538253646
Hospice
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Minot, ND
- NPI 1487804092
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Trinity Health
Practice addresses (Care Compare)
831 S Broadway
Minot, ND 58701-4636
Phone (701) 418-8000
Hospital & facility affiliations
- Hia Hospice
- Trinity Hospitals
- St Andrew'S Hospital
- Tioga Medical Center
- Trinity Kenmare Community Hospital
- Heart of America Medical Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220713000122 | ND | Practitioner - Hematology/Oncology | 3375924095 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17816 | ND | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Health | Current | Accepting new patients | |
| Trinity Health | Current | Accepting new patients | |
| Trinity Health | Current | Accepting new patients |
Locations
2720 Dundee Rd
Northbrook, IL 60062
Phone (224) 226-5222
831 S Broadway
Minot, ND 58701
Phone (701) 857-3534
2305 37th Ave SW
Minot, ND 58701
Phone (701) 418-8550
101 3rd Ave SW
Minot, ND 58701
Phone (701) 857-5286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758585600000",
"number": "1124400742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5010",
"city": "MINOT",
"state": "ND",
"postal_code": "587025010",
"telephone_number": "701-418-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "831 S BROADWAY",
"city": "MINOT",
"state": "ND",
"postal_code": "587014636",
"telephone_number": "701-857-3534",
"fax_number": "701-857-5171"
}
],
"practiceLocations": [
{
"address_1": "1 Baylor Plz",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770303411",
"country_code": "US",
"telephone_number": "713-798-4951",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2305 37th Ave SW",
"address_purpose": "LOCATION",
"city": "Minot",
"state": "ND",
"postal_code": "587017669",
"country_code": "US",
"telephone_number": "701-418-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IBRAHIM",
"first_name": "MOAYED",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-19",
"last_updated": "2025-09-23",
"certification_date": "2025-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "ND",
"license": "17816",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1068.1",
"affiliationName": "Cobius Healthcare Solutions",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "2720 Dundee Rd # 302",
"city": "Northbrook",
"state": "IL",
"country_code": "US",
"postal_code": "600622609",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Minot, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.