Individual provider Active NPI

Morhaf Ibrahim, MD

  • Clinical Cardiac Electrophysiology Physician
  • Jacksonville, FL
National Provider Identifier
1437485786
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
ME115300 Issued in FL
Practice address
5150 Belfort Rd
BLDG 400
Jacksonville, FL 32256-6026
Phone
(904) 580-4730
NPI assigned
Oct 21, 2009
Last updated
May 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
14S95OtherFLBCBS
009577000MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@ibrahimheart.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 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
I20131007001221 FL Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 1254523236 Reassigns benefits to 1 organization
I20191101002197 GA Practitioner - Cardiac Electrophysiology 1254523236 Reassigns benefits to 1 organization

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
Ibrahim Heart Clinic PLLCGroup PAC ID 4688958648, 43 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair13

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ibrahim Heart Clinic PLLC Clinical Cardiac Electrophysiology CurrentSince Dec 1, 2016 Accepting new patients
Imc-North Baldwin Primary Plus, LLC PastSince May 7, 2024 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

  • Direct secure messaging: info@ibrahimheart.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.