Active NPI
Morhaf Ibrahim, MD
- Clinical Cardiac Electrophysiology Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- ME115300
- Practice address
- 5150 Belfort Rd
BLDG 400
Jacksonville, FL 32256-6026 - Phone
- (904) 580-4730
- NPI assigned
- Oct 21, 2009
- Last updated
- May 24, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | ME115300 | FL | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | ME115300 | FL | Primary |
Addresses
Primary practice location
5150 Belfort Rd
BLDG 400
Jacksonville, FL 32256-6026
Mailing address
5150 Belfort Rd BLDG 400
Jacksonville, FL 32256-6026
Phone (904) 580-4730
Other practice location 1
1921 Alice St Ste 4A
Waycross, GA 31501-6202
Phone (904) 580-4730
Other practice location 2
1590 Island Ln Ste 73
Fleming Island, FL 32003-4409
Phone (904) 580-4730
Other practice location 3
213 S US Highway 17 Ste Ab
East Palatka, FL 32131-4005
Phone (904) 580-4730
Other practice location 4
319 W Call St Ste B
Starke, FL 32091-3172
Phone (904) 580-4730
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14S95 | Other | FL | BCBS |
| 009577000 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@ibrahimheart.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Electrophysiology
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1921 Alice St
Suite 4a
Waycross, GA 31501-6202
Phone (904) 580-4730
5150 Belfort Rd
BLDG 400
Jacksonville, FL 32256-6026
Phone (904) 580-4730
5150 Belfort Rd BLDG
Suite 400
Jacksonville, FL 32256-6026
Hospital & facility affiliations
- HCA Florida Memorial Hospital
- Flagler Hospital
- Memorial Satilla Health
- HCA Florida Orange Park Hospital
- Ascension St Vincent's Clay County
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 13 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ibrahim Heart Clinic PLLC | Clinical Cardiac Electrophysiology | Current | Accepting new patients |
| Imc-North Baldwin Primary Plus, LLC | Past | Accepting new patients |
Locations
213 S US Highway 17
Ste A
East Palatka, FL 32131
Phone (786) 589-7248
213 S US Highway 17
Ste Ab
East Palatka, FL 32131
215 S US Highway 17
East Palatka, FL 32131
Phone (386) 232-9203
1590 Island Ln
Ste 73
Fleming Island, FL 32003
11481 Old St Augustine Rd
Ste 303
Jacksonville, FL 32258
Phone (904) 862-2070
5150 Belfort Rd
Bldg 400
Jacksonville, FL 32256
Phone (904) 296-0900
9191 R G Skinner Pkwy
Unit 103
Jacksonville, FL 32256
Phone (904) 391-6862
850 E Main St
Lake Butler, FL 32054
Phone (386) 496-1922
319 W Call St
Ste B
Starke, FL 32091
Phone (904) 368-9102
1921 Alice St
Ste 4A
Waycross, GA 31501
Phone (912) 283-5616
Interoperability endpoints
- info@ibrahimheart.com
- mibrahim740694@direct.shands.ufl.edu
Organizations & group practices 3
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.
-
- Clinical Cardiac Electrophysiology Physician
- Jacksonville, FL
- NPI 1629511035
GA
-
- Clinical Cardiac Electrophysiology Physician
- East Palatka, FL
- NPI 1265015416
-
dba North Baldwin Primary Plus
- Family Medicine Physician
- Bay Minette, AL
- NPI 1013283530
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- St Augustine, FL
- NPI 1144211020
-
dba HCA Florida Memorial Hospital
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1447206438
-
dba HCA Florida Orange Park Hospital
- General Acute Care Hospital
- Orange Park, FL
- NPI 1689611501
-
dba Ascension St. Vincent's Clay County
- General Acute Care Hospital
- Middleburg, FL
- NPI 1457690471
-
dba Memorial Satilla Health
- Rural Acute Care Hospital
- Waycross, GA
- NPI 1922530468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716508800000",
"number": "1437485786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5150 BELFORT RD BLDG 400",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322566026",
"telephone_number": "904-580-4730",
"fax_number": "904-589-4740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5150 BELFORT RD",
"address_2": "BLDG 400",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322566026",
"telephone_number": "904-580-4730"
}
],
"practiceLocations": [
{
"address_1": "1921 Alice St Ste 4A",
"address_purpose": "LOCATION",
"city": "Waycross",
"state": "GA",
"postal_code": "315016202",
"country_code": "US",
"telephone_number": "904-580-4730",
"fax_number": "904-580-4740",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1590 Island Ln Ste 73",
"address_purpose": "LOCATION",
"city": "Fleming Island",
"state": "FL",
"postal_code": "320034409",
"country_code": "US",
"telephone_number": "904-580-4730",
"fax_number": "904-580-4740",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "213 S US Highway 17 Ste Ab",
"address_purpose": "LOCATION",
"city": "East Palatka",
"state": "FL",
"postal_code": "321314005",
"country_code": "US",
"telephone_number": "904-580-4730",
"fax_number": "904-580-4740",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "319 W Call St Ste B",
"address_purpose": "LOCATION",
"city": "Starke",
"state": "FL",
"postal_code": "320913172",
"country_code": "US",
"telephone_number": "904-580-4730",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IBRAHIM",
"first_name": "MORHAF",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-10-21",
"last_updated": "2024-05-24",
"certification_date": "2024-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "FL",
"license": "ME115300",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "FL",
"license": "ME115300",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "14S95",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009577000",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@ibrahimheart.com",
"affiliation": "N",
"address_1": "5150 BELFORT RD",
"address_2": "BLDG 400",
"city": "JACKSONVILLE",
"state": "FL",
"country_code": "US",
"postal_code": "322566026",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.