Individual provider Active NPI

Mohammed Usman Ibrahim, MD

  • Family Medicine Physician
  • Plano, TX
National Provider Identifier
1245546407
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R3111 Issued in TX
Practice address
2100 Hedgcoxe Rd Ste 120
Plano, TX 75025-3163
Phone
(972) 769-8443
Fax
(972) 769-2395
NPI assigned
Aug 26, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 272887 NY
Family Medicine Physician 207Q00000X R3111 TX Primary

Addresses

Primary practice location

2100 Hedgcoxe Rd Ste 120
Plano, TX 75025-3163

Mailing address

2100 Hedgcoxe Rd Ste 120
Plano, TX 75025-3163
Phone (972) 769-8443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180501001759 TX Practitioner - Family Practice 4183855968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

2100 Hedgcoxe Rd
Suite 120
Plano, TX 75025-3163
Phone (972) 769-8443

Hospital & facility affiliations

  • Medical City Plano Hospital, Plano, TX, CCN 450651
  • Texas Health Presbyterian Hospital Allen Hospital, Allen, TX, CCN 450840

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
272887NYMDFamily Medicine Physician
R3111TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group CurrentSince Apr 20, 2018 Accepting new patients
Texas Health Physicians Group Current Accepting new patients
Texas Health Physicians Group Family Medicine CurrentSince Apr 20, 2018 Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

2900 N Interstate 35
Ste 302
Denton, TX 76201
Phone (940) 565-9118

2100 Hedgcoxe Rd
Ste 120
Plano, TX 75025
Phone (972) 769-8443

Interoperability endpoints

  • Direct secure messaging: mibrahim1353927@direct.texashealth.org

Organizations & group practices 3

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 2

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": "1282780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1245546407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 HEDGCOXE RD STE 120",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750253163",
            "telephone_number": "972-769-8443",
            "fax_number": "972-769-2395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 HEDGCOXE RD STE 120",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750253163",
            "telephone_number": "972-769-8443",
            "fax_number": "972-769-2395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "MOHAMMED",
        "middle_name": "USMAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-26",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "272887",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R3111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.