Active NPI
Steve Ibrahim, D.O.
- Internal Medicine Physician
- Phoenix, AZ
National Provider Identifier
1174634547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4396
- Practice address
- 500 W Thomas Rd
Suite 900
Phoenix, AZ 85013-4224 - Phone
- (602) 406-5590
- Fax
- (602) 406-7165
- NPI assigned
- Aug 31, 2006
- Last updated
- Apr 20, 2012
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4396 | AZ | Primary |
Addresses
Primary practice location
500 W Thomas Rd
Suite 900
Phoenix, AZ 85013-4224
Mailing address
File 56765
Los Angeles, CA 90074-6765
Phone (602) 406-3860
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 116997 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4396 | AZ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Phoenix Urgent Care LLC | Past | Accepting new patients | |
| Glendale Urgent Care LLC | Past | Accepting new patients | |
| Nextcare Arizona LLC | Past | Accepting new patients | |
| Apache Junction Urgent Care LLC | Past | Accepting new patients | |
| Nextcare Arizona I JV LLC | Past | Accepting new patients | |
| Shea Urgent Care LLC | Past | Accepting new patients | |
| Avondale Urgent Care LLC | Past | Accepting new patients | |
| Casa Grande Urgent Care LLC | Past | Accepting new patients | |
| Pinnacle Medicine Inc. | Past | Accepting new patients | |
| Thomas Road Urgent Care LLC | Past | Accepting new patients | |
| Greenway Urgent Care LLC | Past | Accepting new patients | |
| Dana Landing Urgent Care LLC | Past | Accepting new patients | |
| Desert Ridge Urgent Care LLC | Past | Accepting new patients | |
| Chandler Urgent Care LLC | Past | Accepting new patients | |
| Vishal Chaurasia MD PC | Internal Medicine | Past | Accepting new patients |
| Sun City Urgent Care LLC | Past | Accepting new patients |
Organizations & group practices 16
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.
-
dba NextCare
- Urgent Care Clinic/Center
- Apache Junction, AZ
- NPI 1053375659
-
- Urgent Care Clinic/Center
- Tempe, AZ
- NPI 1114798071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334880000000",
"number": "1174634547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "FILE 56765",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900746765",
"telephone_number": "602-406-3860",
"fax_number": "602-406-6132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W THOMAS RD",
"address_2": "SUITE 900",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850134224",
"telephone_number": "602-406-5590",
"fax_number": "602-406-7165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IBRAHIM",
"first_name": "STEVE",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2012-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "4396",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "116997",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.