Ibrahim Mohammad Abu Dayah, MD
Individual provider Active NPI Internal Medicine Physician · Myrtle Beach, SC
NPI 1306368667 · NPPES record last updated Feb 12, 2021
Key facts
- NPI
- 1306368667
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 83609 (SC)
- Practice address
- 809 82ND Pkwy
Myrtle Beach, SC 29572-4607 - Phone
- (843) 692-1000
- Fax
- (843) 692-1000
- NPI assigned
- Jul 7, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Synergy Medical Group LLC
Emergency Medicine Associates P.a., P.C.
Practice addresses (Care Compare)
1205 York Rd
Suite 11
Timonium, MD 21093-6211
Phone (443) 325-0031
1701 N George Mason Dr
Arlington, VA 22205-3610
Phone (703) 558-5000
200 Memorial Ave
Westminster, MD 21157-5726
Phone (410) 871-6700
8118 Good Luck Rd
Lanham, MD 20706-3574
Phone (330) 493-4443
Hospital & facility affiliations
- Homecare Maryland, LLC
- Bridginglife, Inc.
- Carroll Hospital Center
- Luminis Health Doctors Community Medical Ctr, Inc
- Sinai Hospital of Baltimore
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.6 of 100
- Quality
- 76.36
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in SC, MD, DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200625003172 | SC | Practitioner - Internal Medicine | 8729358593 | Reassigns benefits to 1 organization |
| I20231202000290 | MD | Practitioner - Internal Medicine | 8729358593 | Reassigns benefits to 2 organizations |
| I20250219002584 | DC | Practitioner - Internal Medicine | 8729358593 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83609 | SC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Hospitalist Services PC | Internal Medicine | Current |
Accepting new patients |
| Synergy Medical Group LLC | Internal Medicine | Current |
Accepting new patients |
| Emergency Medicine Associates P.a., P.C. | Current |
Accepting new patients | |
| Synergy Medical Group LLC | Internal Medicine | Current |
Accepting new patients |
| Emergency Medicine Associates, PA | Current |
Accepting new patients | |
| Synergy Medical Group LLC | Internal Medicine | Current | Accepting new patients |
| Emergency Medicine Associates P.a., P.C. | Internal Medicine | Current |
Accepting new patients |
| Usacs Integrated Acute Care Services of Maryland, LLC | Internal Medicine | Current |
Accepting new patients |
| Carroll Hospital Center, Inc. | Past | Accepting new patients |
Locations
100 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 414-4791
1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230
1205 York Rd
Ste 11
Timonium, MD 21093
Phone (443) 325-0031
200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000
5050 Highway 17 Byp S
Myrtle Beach, SC 29588
Phone (843) 449-6521
809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182
1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 83609 | SC | Yes |
Addresses
Primary practice location
809 82ND Pkwy
Myrtle Beach, SC 29572-4607
Mailing address
901 Sorano St
Myrtle Beach, SC 29579-8028
Phone (862) 245-3363
Other providers in Myrtle Beach, SC
- Sydney Abernathy
- Christeen Moncy Abraham
- Kelly Abraham
- Nancy Abrahams
- David E Abramovitz
- Lauren Sattele Abusal
- Accuquest Hearing Center, LLC
- Christopher Acquaviva
- Acs Primary Care Physicians - Southeast PC
- Active SC One, Inc.
All providers in Myrtle Beach, SC · Internal Medicine Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.