Individual provider Active NPI

Ibrahim Mohsin, MD

  • Nephrology Physician
  • Farmington, CT
National Provider Identifier
1356962393
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
75918 Issued in CT
Practice address
100 Hospital Drive
Farmington, CT 06030-1616
Phone
(860) 679-2000
NPI assigned
Apr 30, 2020
Last updated
Jun 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 75918 CT Primary

Addresses

Primary practice location

100 Hospital Drive
Farmington, CT 06030-1616

Mailing address

100 Hospital Drive
Farmington, CT 06030-0001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231109001435 CT Practitioner - Internal Medicine 4880041078 Reassigns benefits to 3 organizations
I20250305004277 CA Practitioner - Internal Medicine 4880041078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians
Center for Cardiovascular Care a Medical CorporationGroup PAC ID 3779504485, 11 clinicians
Prospect CT Medical Foundation IncGroup PAC ID 7416244496, 287 clinicians
Hospitalist Medicine Physicians of Connecticut LLCGroup PAC ID 8628104072, 36 clinicians

Practice addresses (Care Compare)

112 Mansfield Ave
Willimantic, CT 06226-2045
Phone (860) 456-7279

1244 Storrs Rd
Road
Storrs, CT 06268-2200
Phone (860) 724-2579

200 Jose Figueres Ave
Suite 325
San Jose, CA 95116-1592
Phone (408) 937-9000

428 Hartford Tpke
Suite 207
Vernon, CT 06066-4841
Phone (860) 872-5426

71 Haynes St
Manchester, CT 06040-4131
Phone (860) 646-1222

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
75918CTMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Access P.C. Current Accepting new patients
Prospect CT Medical Foundation, Inc. Internal Medicine CurrentSince Aug 20, 2025 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Center for Cardiovascular Care a Medical Corporation CurrentSince Mar 1, 2025 Accepting new patients
Hospitalist Medicine Physicians of Connecticut, LLC Internal Medicine CurrentSince Sep 30, 2023 Accepting new patients
Wellcare Dialysis Inc PastSince Apr 25, 2021 Accepting new patients
Professional Transport, Inc PastSince Mar 1, 2025 Accepting new patients

Locations

178 2nd St
Gilroy, CA 95020
Phone (408) 842-5190

178 2nd St
Ste D
Gilroy, CA 95020
Phone (408) 842-5190

1801 W Olympic Blvd
#2201
Pasadena, CA 91199

200 Jose Figueres Ave
San Jose, CA 95116
Phone (408) 259-3232

200 Jose Figueres Ave
Ste 325
San Jose, CA 95116
Phone (408) 293-9440

18 Haynes St
Uppr
Manchester, CT 06040
Phone (860) 649-7557

71 Haynes St
Manchester, CT 06040
Phone (860) 533-2981

428 Hartford Tpke
Ste 207
Vernon Rockville, CT 06066
Phone (860) 872-5426

31 Union St
Vernon Rockvl, CT 06066
Phone (860) 289-6451

1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565

100 15th St NW
Ste A
Norton, VA 24273
Phone (276) 439-1840

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ibrahimmohsin@mpp.allscriptsdirect.net

Organizations & group practices 8

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.

Hospital & facility affiliations 4

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": "1588204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1356962393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL DRIVE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060300001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL DRIVE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060301616",
            "telephone_number": "860-679-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHSIN",
        "first_name": "IBRAHIM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-30",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CT",
            "license": "75918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

Verify at the official NPI Registry.