Monsuru Ibraheem MD Inc a Professional Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

11842 Issued in NV

Legal business name

MONSURU IBRAHEEM MD INC A PROFESSIONAL CORPORATION

Practice address

1050 W Galleria Dr
Henderson, NV 89011-4800

Phone

(702) 963-7000

NPI assigned

Apr 19, 2007

Last updated

Aug 21, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Monsuru Ibraheem, M.D.NPI 1215906458

Title

President

Phone

(646) 209-6746

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Monsuru O Ibraheem, MD

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1215906458
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566345600000",
    "number": "1427275874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98607",
            "address_2": "DEPT 2022",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891938607",
            "telephone_number": "646-209-6746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 W GALLERIA DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890114800",
            "telephone_number": "702-963-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONSURU IBRAHEEM MD INC A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2019-08-21",
        "status": "A",
        "authorized_official_last_name": "IBRAHEEM",
        "authorized_official_first_name": "MONSURU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-209-6746",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "11842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100510175",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary S Mono, DO
• Eduardo Paguntalan Monroy, MSN, FNP
• Amy Monrreal, PA-C
• Rosalie Monsalvo
• Keith Monsay, APRN-CNP
• Penny Montague
• Rebecca M Monte, APN
• Zabdy Montenegro Rios
• Blesilda L Montenegro
• Joseph Alexis Montero, O.D

• Internal Medicine Physician in Henderson, NV
• Providers in Henderson, NV by specialty
• Internal Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.