Individual provider Active NPI

Samar Ibrahim, MD

  • Internal Medicine Physician
  • Harker Heights, TX
National Provider Identifier
1336765890
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
V2760 Issued in TX
Practice address
800 W Central Texas Expy Ste 300
Harker Heights, TX 76548-1993
Phone
(254) 618-1020
Fax
(254) 618-1191
NPI assigned
Jun 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X V2760 TX Primary

Addresses

Primary practice location

800 W Central Texas Expy Ste 300
Harker Heights, TX 76548-1993

Mailing address

800 W Central Texas Expy Ste 300
Harker Heights, TX 76548-1993
Phone (254) 618-1020

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
I20240829000720 TX Practitioner - Internal Medicine 4486193844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
LHP Texas MD Services, IncGroup PAC ID 8527222108, 36 clinicians

Practice addresses (Care Compare)

800 W Central Texas Expy
Suite 390
Harker Heights, TX 76548-3202
Phone (254) 618-4330

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
LHP Texas MD Services, Inc CurrentSince Sep 1, 2024 Accepting new patients
HH Killeen Health System LLC PastSince Aug 25, 2024 Accepting new patients

Locations

800 W Central Texas Expy
Ste 300
Harker Heights, TX 76548
Phone (254) 618-1020

800 W Central Texas Expy
Harker Heights, TX 76548
Phone (254) 618-4933

800 W Central Texas Expy
Ste 390
Harker Heights, TX 76548
Phone (254) 618-4330

Interoperability endpoints

  • Direct secure messaging: sibrahim1136684@ahs.direct-ci.com

Organizations & group practices 2

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 8

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": "1592697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1336765890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W CENTRAL TEXAS EXPY STE 300",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765481993",
            "telephone_number": "254-618-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W CENTRAL TEXAS EXPY STE 300",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765481993",
            "telephone_number": "254-618-1020",
            "fax_number": "254-618-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "SAMAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-21",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "V2760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harker Heights, TX

Sources for this page

Verify at the official NPI Registry.