NPIMap

Individual provider Active NPI

Ramy Ibrahim, M.D.

  • Internal Medicine Physician
  • The Villages, FL
National Provider Identifier
1407109903
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME114404 Issued in FL
Practice address
1580 Santa Barbara Blvd
The Villages, FL 32159-6827
Phone
(352) 259-2159
NPI assigned
Oct 21, 2012
Last updated
Nov 16, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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 ME114404 FL Primary

Addresses

Primary practice location

1580 Santa Barbara Blvd
The Villages, FL 32159-6827

Mailing address

1580 Santa Barbara Blvd
Suite C
The Villages, FL 32159-6827
Phone (352) 259-2159

Other identifiers 1

IdentifierTypeStateIssuer
HE201ZOtherFLMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130523000612 FL Practitioner - Internal Medicine 3971741356 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians
Premier Medical Associates of Florida Healthcare, PAGroup PAC ID 6800200940, 64 clinicians
Synergy Inpatient Services LLCGroup PAC ID 7810361524, 21 clinicians
Lake Area Physical Therapy Inc.Group PAC ID 3678604840, 372 clinicians

Practice addresses (Care Compare)

1050 Old Camp Rd
Suite 282
The Villages, FL 32162-1762
Phone (352) 693-3378

1580 Santa Barbara Blvd
The Villages, FL 32159-6827
Phone (352) 259-2159

2953 Traverse TRL
The Villages, FL 32163-2017
Phone (352) 693-3378

8768 SE 165TH Mulberry LN
Cora Physical Therapy Mulberry Lane
The Villages, FL 32162-5861
Phone (352) 329-5237

PO Box
Suite 1099
Melrose, FL 32666-1099

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Medical Associates of Florida Healthcare, PA Internal Medicine CurrentSince Jan 1, 2021 Accepting new patients
Premier Medical Associates All Florida, LLC Internal Medicine CurrentSince Jul 1, 2013 Accepting new patients
Premier Medical Associates of Florida LLC Internal Medicine CurrentSince Jan 1, 2021 Accepting new patients
Premier Medical Associates of Florida LLC CurrentSince Jan 1, 2021 Accepting new patients
Quantum Inpatient Medical Services LLC CurrentSince Feb 10, 2020 Accepting new patients
Synergy Inpatient Services LLC CurrentSince Aug 1, 2024 Accepting new patients

Locations

210 N Highway 27
Ste 7
Clermont, FL 34711
Phone (352) 243-2700

1004 N 14th St
Ste 109
Leesburg, FL 34748
Phone (352) 978-4888

3529 E Silver Springs Blvd
Ocala, FL 34470
Phone (352) 622-5298

11010 Bloomingdale Ave
Riverview, FL 33578
Phone (813) 661-5222

5709 Gunn Hwy
Tampa, FL 33625
Phone (813) 969-4203

1580 Santa Barbara Blvd
The Villages, FL 32159
Phone (352) 494-6882

1580 Santa Barbara Blvd
Ste 3
The Villages, FL 32159
Phone (352) 565-7675

1580 Santa Barbara Blvd
Ste C
The Villages, FL 32159

1580 Santa Barbara Blvd
Ste D
The Villages, FL 32159
Phone (352) 508-1512

910 Old Camp Rd
Ste 130
The Villages, FL 32162
Phone (352) 326-5254

410 W Gulf Atlantic Hwy
Wildwood, FL 34785
Phone (352) 565-7675

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: ramy.ibrahim@pmaaf.eclinicaldirectplus.com
  • Direct secure messaging: ribrahim563699@direct.shands.ufl.edu

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.

Hospital & facility affiliations 26

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1350777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1407109903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 SANTA BARBARA BLVD",
            "address_2": "SUITE C",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321596827",
            "telephone_number": "352-259-2159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 SANTA BARBARA BLVD",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321596827",
            "telephone_number": "352-259-2159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "RAMY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-21",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME114404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "HE201Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

Verify at the official NPI Registry.