Individual provider Active NPI

Sandy F Ibrahim, MD

  • Family Medicine Physician
  • Fairfax, VA
National Provider Identifier
1437299658
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101233839 Issued in VA
Practice address
3580 Joseph Siewick Dr Ste 306
Fairfax, VA 22033-1764
Phone
(703) 391-4520
Fax
(703) 391-4521
NPI assigned
Feb 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101233839 VA Primary

Addresses

Primary practice location

3580 Joseph Siewick Dr Ste 306
Fairfax, VA 22033-1764

Mailing address

3580 Joseph Siewick Dr Ste 306
Fairfax, VA 22033-1764
Phone (703) 391-4520

Other practice location 1

6862 Elm St
700
Mc Lean, VA 22101-3897
Phone (703) 288-3750

Other practice location 2

3300 Gallows Rd Fl 1
Falls Church, VA 22042-3307
Phone (703) 776-4005

Other practice location 3

6355 Walker Ln Ste 500
Alexandria, VA 22310-3251
Phone (703) 373-3718

Other practice location 4

8081 Innovation Park Dr Ste 200
Fairfax, VA 22031-4867
Phone (571) 472-7000

Other practice location 5

1225 Martha Custis Dr Ste C1
Alexandria, VA 22302-2040
Phone (703) 671-2700

Other practice location 6

1005 N Glebe Rd Ste 710
Arlington, VA 22201-5766
Phone (571) 302-3903

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sibrahim25381@soc.inova.org Health Information Exchange (HIE) Inova Health Care Services

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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
I20040723000411 DC Practitioner - Family Practice 2062492648 Reassigns benefits to 2 organizations
I20080509000287 VA Practitioner - Family Practice 2062492648 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

Practice addresses (Care Compare)

1005 N Glebe Rd
Arlington, VA 22201-5758

19500 Sandridge Way
Leesburg, VA 20176-3689
Phone (703) 840-7300

3300 Gallows Rd
Falls Church, VA 22042-3307

3580 Joseph Siewick Dr
Fairfax, VA 22033-1717

3580 Joseph Siewick Dr
Fairfax, VA 22033-1764

44045 Rivderside Pkwy
Leesburg, VA 20176-5101

6862 Elm St
MC Lean, VA 22101-3862
Phone (703) 288-3750

8100 Innovation Dr Park
Fairfax, VA 22031-4872
Phone (703) 970-6464

Hospital & facility affiliations

  • Inova Fairfax Hospital Hospital, Falls Church, VA, CCN 490063
  • Inova Fair Oaks Hospital Hospital, Fairfax, VA, CCN 490101

Merit-based Incentive Payment System (MIPS)

Final score
83.36 of 100Reported as group
Quality
73.03
Promoting interoperability
100
Improvement activities
40
Cost
71.49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101233839VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Feb 5, 2015 Accepting new patients
Inova Physician Partners, LLC Family Medicine CurrentSince Apr 6, 2015 Accepting new patients
Inova Health Care Services CurrentSince Feb 5, 2015 Accepting new patients
Inova Health Care Services CurrentSince Feb 5, 2015 Accepting new patients
Fairfax Family Practice Centers, P.C Family Medicine PastSince Jan 12, 2009 Accepting new patients
Inova Physician Partners, Inc. - Specialists Past Accepting new patients

Locations

1225 Martha Custis Dr
Ste C1
Alexandria, VA 22302
Phone (703) 671-2700

6355 Walker Ln
Ste 500
Alexandria, VA 22310
Phone (703) 373-3718

1005 N Glebe Rd
Ste 710
Arlington, VA 22201
Phone (571) 302-3903

3914 Centreville Rd
Ste 250
Chantilly, VA 20151
Phone (703) 435-1223

8501 Arlington Blvd
#S310
Fairfax, VA 22031
Phone (703) 698-9000

8501 Arlington Blvd
Ste 310
Fairfax, VA 22031
Phone (703) 645-0077

3580 Joseph Siewick Dr
Ste 306
Fairfax, VA 22033
Phone (703) 391-4520

8081 Innovation Park Dr
Ste 200
Fairfax, VA 22031
Phone (571) 472-7000

3300 Gallows Rd
Fl 1
Falls Church, VA 22042
Phone (703) 776-4005

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

6862 Elm St
Ste 700
McLean, VA 22101
Phone (703) 288-3750

740 E Main St
Purcellville, VA 20132
Phone (540) 338-4995

Interoperability endpoints

  • Direct secure messaging: sibrahim25381@soc.inova.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1437299658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3580 JOSEPH SIEWICK DR STE 306",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331764",
            "telephone_number": "703-391-4520",
            "fax_number": "703-391-4521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3580 JOSEPH SIEWICK DR STE 306",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331764",
            "telephone_number": "703-391-4520",
            "fax_number": "703-391-4521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6862 Elm St",
            "address_2": "700",
            "address_purpose": "LOCATION",
            "city": "Mc Lean",
            "state": "VA",
            "postal_code": "221013897",
            "country_code": "US",
            "telephone_number": "703-288-3750",
            "fax_number": "703-288-3751",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3300 Gallows Rd Fl 1",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220423307",
            "country_code": "US",
            "telephone_number": "703-776-4005",
            "fax_number": "703-776-7068",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6355 Walker Ln Ste 500",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223103251",
            "country_code": "US",
            "telephone_number": "703-373-3718",
            "fax_number": "703-822-2190",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8081 Innovation Park Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220314867",
            "country_code": "US",
            "telephone_number": "571-472-7000",
            "fax_number": "571-472-7001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1225 Martha Custis Dr Ste C1",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223022040",
            "country_code": "US",
            "telephone_number": "703-671-2700",
            "fax_number": "703-671-7007",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1005 N Glebe Rd Ste 710",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222015766",
            "country_code": "US",
            "telephone_number": "571-302-3903",
            "fax_number": "571-302-3904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "SANDY",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101233839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sibrahim25381@soc.inova.org",
            "affiliation": "Y",
            "endpointDescription": "Health Information Exchange",
            "affiliationName": "Inova Health Care Services",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "3580 Joseph Siewick Dr Ste 306",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220331764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.