Individual provider Active NPI

Faiza Ahmed Ibrahim

  • Physician Assistant
  • Marshalltown, IA
National Provider Identifier
1346039575
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
136325 Issued in IA
Practice address
101 Iowa Ave W Ste 102
Marshalltown, IA 50158-2985
Phone
(641) 753-4021
Fax
(515) 644-6792
NPI assigned
May 5, 2025
Last updated
Jan 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 136325 IA Primary

Addresses

Primary practice location

101 Iowa Ave W Ste 102
Marshalltown, IA 50158-2985

Mailing address

1200 University Ave Ste 200
Des Moines, IA 50314-2355
Phone (515) 248-1447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260128000902 IA Practitioner - Physician Assistant 1153809553 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Health Care IncGroup PAC ID 8426966755, 72 clinicians

Practice addresses (Care Compare)

2353 SE 14TH St
Des Moines, IA 50320-1109
Phone (515) 248-1400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
136325IAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Health Care, Inc. CurrentSince Feb 2, 2026 Accepting new patients
Primary Health Care, Inc. CurrentSince Feb 2, 2026 Accepting new patients
Primary Health Care, Inc. Past Accepting new patients

Locations

1200 University Ave
Ste 200
Des Moines, IA 50314
Phone (515) 248-1447

2353 SE 14th St
Des Moines, IA 50320
Phone (515) 248-1400

101 Iowa Ave W
Ste 102
Marshalltown, IA 50158
Phone (641) 753-4021

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1746403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1346039575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 UNIVERSITY AVE STE 200",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503142355",
            "telephone_number": "515-248-1447",
            "fax_number": "515-248-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 IOWA AVE W STE 102",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501582985",
            "telephone_number": "641-753-4021",
            "fax_number": "515-644-6792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "FAIZA",
        "middle_name": "AHMED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-05",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "136325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshalltown, IA

Sources for this page

Verify at the official NPI Registry.