Ibrahim Abdelmoneim, MD
Individual provider Active NPI Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Boston, MA
NPI 1447196845 · NPPES record last updated Apr 27, 2026
Key facts
- NPI
- 1447196845
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X
- License
- 3019776 (MA)
- Practice address
- 300 Longwood Ave # 3084
Boston, MA 02115-5724 - Phone
- (617) 355-1914
- Fax
- (617) 730-0214
- NPI assigned
- Apr 27, 2026
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3019776 | MA | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 3019776 | MA | Yes |
Addresses
Primary practice location
300 Longwood Ave # 3084
Boston, MA 02115-5724
Mailing address
1223 Beacon St Apt 400
Brookline, MA 02446-5391
Phone (857) 421-6063
Other providers in Boston, MA
- Noor Abdelkader
- Alicia Abdella
- Alaa Abdellatif
- Bahaa Abdellatif
- David Abdelmalak
- Aya Abdelnaser
- Kristin J Abdelnour
- Sara Abdelrahim
- Khaled Abdelrahman
- Mohamed Abdelrahman
All providers in Boston, MA · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 27, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.