Ibrahim Mohamed Ahmed, MD FAAP
Individual provider Active NPI Pediatrics Physician · Mobile, AL
NPI 1407952963 · NPPES record last updated Jul 22, 2024
Key facts
- NPI
- 1407952963
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 00786 (NC)
- Practice address
- 1601 Center St
Mobile, AL 36604-1541 - Phone
- (251) 410-5437
- Fax
- (251) 434-3802
- NPI assigned
- Sep 15, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.28 of 100
- Quality
- 85.81
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NC, AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151228001702 | NC | Practitioner - Pediatric Medicine | 0244367431 | Reassigns benefits to 1 organization |
| I20220922001240 | AL | Practitioner - Hospitalist | 0244367431 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-40922 | KS | MD | Pediatrics Physician |
| 4301113644 | MI | MD | Pediatrics Physician |
| 17545 | NH | MD | Pediatrics Physician |
| MD046924L | PA | MD | Pediatrics Physician |
| 60837592 | WA | MD | Pediatrics Physician |
| R3464 | TX | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sherman Grayson Hospital LLC | Current | Accepting new patients | |
| USA Health Community Providers LLC | Pediatrics | Current |
Accepting new patients |
| USA Health Physician Billing Services LLC | Pediatrics | Current |
Accepting new patients |
| DLP Wilson Physician Practices LLC | Current |
Accepting new patients | |
| USA Health Physician Billing Services LLC | Current |
Accepting new patients | |
| DLP Wilson Physician Practices LLC | Current |
Accepting new patients | |
| Allied Physicians Group, PLLC | Pediatrics | Past | Accepting new patients |
| University of South Alabama | Past | Accepting new patients | |
| USA Health HCA Providence Hospital LLC | Past | Accepting new patients | |
| Chenango Memorial Hospital, Inc. | Pediatrics | Past | Accepting new patients |
| Nassau Pediatric Assoc. PC | Past | Accepting new patients |
Locations
1601 Center St
Mobile, AL 36604
Phone (251) 410-5437
75 S University Blvd
Unit 6500
Mobile, AL 36608
Phone (251) 445-8282
75 S University Blvd
Unit 6000
Mobile, AL 36608
Phone (251) 660-5555
6801 Airport Blvd
Mobile, AL 36608
Phone (251) 266-3580
2605 Forest Hills Rd SW
Ste A
Wilson, NC 27893
Phone (252) 243-0043
1705 Tarboro St SW
Wilson, NC 27893
Phone (252) 399-8040
Interoperability endpoints
- ibrahimahmed@wnjrmc.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4301113644 | MI | |
| Pediatrics Physician | 208000000X | 17545 | NH | |
| Pediatrics Physician | 208000000X | R3464 | TX | |
| Pediatrics Physician | 208000000X | MD.43539 | AL | |
| Pediatrics Physician | 208000000X | 04-40922 | KS | |
| Pediatrics Physician | 208000000X | MD046924L | PA | |
| Pediatrics Physician | 208000000X | 191749 | NY | |
| Hospitalist Physician | 208M00000X | R3464 | TX | |
| Pediatrics Physician | 208000000X | 00786 | NC | Yes |
| Pediatrics Physician | 208000000X | 60837592 | WA |
Addresses
Primary practice location
1601 Center St
Mobile, AL 36604-1541
Mailing address
PO Box 746450
Atlanta, GA 30374-6450
Phone (251) 434-3626
Other practice location 1
2140 Medical District Dr Apt 2096
Dallas, TX 75235-8263
Phone (701) 590-1578
Other practice location 2
380 Dogwood Ave
Franklin Square, NY 11010-3447
Phone (516) 481-3660
Other providers in Mobile, AL
- Priscilla Agyemang
- Aha Counseling and Therapy, LLC
- Charles Nolan Ahlrich
- Rida Ahmad
- Hamdy Ahmed
- Zan Ahmed
- Heong Jin Ahn
- Paras Ahuja
- AIDS Alabama South LLC
- AIDS Alabama South LLC
All providers in Mobile, AL · Pediatrics Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.