NPIMap

Individual provider Active NPI

Ibrahim Ihsan Jabbour, MD, MPH

  • Trauma Surgery Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1174886386
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
License
ME141027 Issued in FL
Practice address
3375 Burns Rd Ste 206
Palm Beach Gardens, FL 33410-4361
Phone
(561) 799-9559
NPI assigned
Jun 21, 2012
Last updated
Nov 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Trauma Surgery Physician 2086S0127X ME141027 FL Primary
Surgery Physician 208600000X ME141027 FL

Addresses

Primary practice location

3375 Burns Rd Ste 206
Palm Beach Gardens, FL 33410-4361

Mailing address

8806 Sonoma Lake Blvd
Boca Raton, FL 33434-4069
Phone (561) 454-9114

Other identifiers 1

IdentifierTypeStateIssuer
107204900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200729002616 FL Practitioner - General SurgeryPractitioner - Internal MedicinePractitioner - Critical Care (Intensivists)Practitioner - Emergency MedicinePractitioner - Hospitalist 5799100376 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Critical Care (Intensivists), Emergency Medicine, Hospitalist, Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palm Beach Trauma AssociatesGroup PAC ID 8628311750, 6 clinicians
Invision Health Florida, LLCGroup PAC ID 5698162642, 33 clinicians

Practice addresses (Care Compare)

Boca Raton, FL 33434
Phone (561) 454-9114

2560 Rca Blvd
Suite 106
Palm Beach Gardens, FL 33410-3336
Phone (561) 799-9559

901 45TH St
Mangonia Park, FL 33407-2413
Phone (561) 800-4111

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME141027FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Broward Hospital District CurrentSince Aug 1, 2020 Accepting new patients
Invision Health Florida, LLC CurrentSince Feb 1, 2026 Accepting new patients
South Broward Hospital District Current Accepting new patients
South Broward Hospital District Trauma Surgery CurrentSince Aug 1, 2020 Accepting new patients
Palm Beach Trauma Associates Trauma Surgery CurrentSince Apr 7, 2024 Accepting new patients
Southeast University Physicians PLLC Surgery CurrentSince Aug 1, 2024 Accepting new patients
Ibrahim Jabbour MD PLLC Surgery CurrentSince Aug 31, 2023 Accepting new patients
South Florida Trauma and Acute Care Surgery PLLC Surgery PastSince Feb 1, 2026 Accepting new patients

Locations

9170 Glades Rd
Boca Raton, FL 33434
Phone (561) 454-9114

9170 Glades Rd
Unit 114
Boca Raton, FL 33434

1150 N 35th Ave
Ste 600
Hollywood, FL 33021
Phone (954) 265-5969

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581

2560 Rca Blvd
Ste 106
Palm Beach Gardens, FL 33410
Phone (561) 373-8946

3375 Burns Rd
Ste 206
Palm Beach Gardens, FL 33410
Phone (561) 284-8383

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

1620 Southern Blvd
West Palm Beach, FL 33406
Phone (561) 799-9559

Interoperability endpoints

  • Direct secure messaging: ijabbour247393@mhsdirect.net
  • Direct secure messaging: ijabbour328249@mhsdirect.net

Organizations & group practices 8

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.

Hospital & facility affiliations 5

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": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1174886386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8806 SONOMA LAKE BLVD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334344069",
            "telephone_number": "561-454-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3375 BURNS RD STE 206",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104361",
            "telephone_number": "561-799-9559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JABBOUR",
        "first_name": "IBRAHIM",
        "middle_name": "IHSAN",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "FL",
            "license": "ME141027",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME141027",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107204900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.