Active NPI
Ibrahim Mohammad Abu Dayah, MD
- Internal Medicine Physician
- Myrtle Beach, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 83609
- Practice address
- 809 82ND Pkwy
Myrtle Beach, SC 29572-4607 - Phone
- (843) 692-1000
- Fax
- (843) 692-1000
- NPI assigned
- Jul 7, 2017
- Last updated
- Feb 12, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 83609 | SC | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- 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 |
| 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 | |
| Emergency Medicine Associates P.a., P.C. | Internal Medicine | Current | Accepting new patients |
| Synergy Medical Group LLC | Internal Medicine | Current | Accepting new patients |
| Synergy Medical Group LLC | 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) 692-4540
809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182
1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000
Organizations & group practices 9
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.
-
- Emergency Medicine Physician
- Falls Church, VA
- NPI 1134117393
DC, MD
-
- Internal Medicine Physician
- Lutherville, MD
- NPI 1912736901
-
- Hospitalist Physician
- Myrtle Beach, SC
- NPI 1003280108
Internal Medicine
-
- Internal Medicine Physician
- Elkton, MD
- NPI 1922598929
DC
-
- Internal Medicine Physician
- Culpeper, VA
- NPI 1881559102
-
- Emergency Medicine Physician
- Bowie, MD
- NPI 1225889272
-
- General Acute Care Hospital
- Westminster, MD
- NPI 1912904210
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Westminster, MD
- NPI 1437156775
-
- General Acute Care Hospital
- Westminster, MD
- NPI 1912904210
-
- Home Health Agency
- Owings Mills, MD
- NPI 1144400805
-
dba Doctors Community Hospital
- General Acute Care Hospital
- Lanham, MD
- NPI 1730136532
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1285672204
-
dba Grace Medical Center, A Sinai Hospital Facility
- General Acute Care Hospital
- Baltimore, MD
- NPI 1487325874
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613088000000",
"number": "1306368667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 SORANO ST",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295798028",
"telephone_number": "862-245-3363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 82ND PKWY",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295724607",
"telephone_number": "843-692-1000",
"fax_number": "843-692-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABU DAYAH",
"first_name": "IBRAHIM",
"middle_name": "MOHAMMAD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-07",
"last_updated": "2021-02-12",
"certification_date": "2021-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SC",
"license": "83609",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.