Individual provider Active NPI

Mohammed N Ibrahim, M.D.

  • Interventional Cardiology Physician
  • Springfield, MA
National Provider Identifier
1184019143
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
291669 Issued in MA
Practice address
50 Maple St
Springfield, MA 01103-1979
Phone
(413) 748-6484
NPI assigned
Apr 6, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 291669 MA
Student in an Organized Health Care Education/Training Program 390200000X 276861 MA
Interventional Cardiology Physician 207RI0011X 291669 MA Primary

Addresses

Primary practice location

50 Maple St
Springfield, MA 01103-1979

Mailing address

50 Maple St # M
Springfield, MA 01103-1979
Phone (413) 748-6484

Other practice location 1

24 Hospital Ave
Danbury, CT 06810
Phone (347) 659-3356

Other practice location 2

759 Chestnut St
Springfield, MA 01199-0001
Phone (413) 794-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20220422001984 MA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 2062719677 Reassigns benefits to 2 organizations
I20220915001783 CT Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 2062719677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baystate Medical Practices IncGroup PAC ID 5991602971, 1,350 clinicians
Hampden and Franklin County Cardiovascular Associates PCGroup PAC ID 9032153986, 20 clinicians

Practice addresses (Care Compare)

100 Wason Ave
Springfield, MA 01107-1381
Phone (413) 788-6139

21 Dwight Rd
Longmeadow, MA 01106-1765

280 Chestnut St
Suite 2
Springfield, MA 01199-1001

325 B King St
Northampton, MA 01060-2370
Phone (413) 586-0611

3300 Main St
Springfield, MA 01107-1112
Phone (413) 794-7330

3350 Main St
Springfield, MA 01107-1112
Phone (413) 794-9338

3400 Main St
Springfield, MA 01107-1113
Phone (413) 794-8777

50 Maple St
Springfield, MA 01103-1979
Phone 4137486484202

759 Chestnut St
Springfield, MA 01199-1001
Phone (413) 794-5439

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting41

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
291669MAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hampden & Franklin County Cardiovascular Associates, PC Multi-Specialty CurrentSince Mar 31, 2022 Accepting new patients
Baystate Medical Practices, Inc Multi-Specialty CurrentSince Feb 20, 2023 Accepting new patients
Mass General Brigham Medical Group Western Massachusetts Inc Multi-Specialty PastSince Feb 17, 2015 Accepting new patients
Baystate Medical Center Inc Multi-Specialty Past Accepting new patients

Locations

701 Enfield St
Enfield, CT 06082
Phone (413) 748-6484

146 Federal St
Greenfield, MA 01301
Phone (413) 774-2222

596 South St
Holyoke, MA 01040
Phone (413) 534-1800

22 Atwood Dr
Ste 301
Northampton, MA 01060
Phone (413) 570-4900

50 Maple St
Springfield, MA 01103
Phone (413) 748-6484

759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233

50 Maple St
#M
Springfield, MA 01103

300 Stafford St
Ste 262
Springfield, MA 01104
Phone (413) 732-3109

65 Springfield Rd
Ste 1
Westfield, MA 01085
Phone (413) 642-8052

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JBFADA

Organizations & group practices 4

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.

Hospital & facility affiliations 7

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": "1428278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1184019143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MAPLE ST # M",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011031979",
            "telephone_number": "413-748-6484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MAPLE ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011031979",
            "telephone_number": "413-748-6484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 Hospital Ave",
            "address_purpose": "LOCATION",
            "city": "Danbury",
            "state": "CT",
            "postal_code": "06810",
            "country_code": "US",
            "telephone_number": "347-659-3356",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "759 Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "011990001",
            "country_code": "US",
            "telephone_number": "413-794-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "MOHAMMED",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-06",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "291669",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MA",
            "license": "276861",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MA",
            "license": "291669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.