Ibrahim Abdelhamid Alahmad, FNP-BC

Individual provider Active NPI Family Nurse Practitioner · Springfield, MO

NPI 1467828202 · NPPES record last updated Mar 21, 2025

Key facts

NPI
1467828202
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
2015019813 (MO)
Practice address
633 E Portland St
Springfield, MO 65807-2072
Phone
(000) 000-0000
NPI assigned
Aug 17, 2015
Sex
Male
Sole proprietor
No

Organizations & group practices 14

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.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advocates for a Healthy Community Inc (55 clinicians)

Practice addresses (Care Compare)

440 E Tampa St
Springfield, MO 65806-1131
Phone (417) 831-0150

Merit-based Incentive Payment System (MIPS)

Final score
85.78 of 100 (group)
Quality
74.39
Promoting interoperability
100
Improvement activities
40
Cost
78.21

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20170928002096 MO Practitioner - Nurse Practitioner 7113291204 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Advocates for a Healthy Community Inc Current
since Jan 7, 2025
Accepting new patients
Lester E Cox Medical Centers Current
since Sep 19, 2020
Accepting new patients
Lester E. Cox Medical Centers Current Accepting new patients
Lester E Cox Medical Centers Current
since Sep 19, 2020
Accepting new patients
Advocates for a Healthy Community, Inc Current
since Jan 7, 2025
Accepting new patients
Ozarks Medical Center Past Accepting new patients
Advocates for a Healthy Community, Inc. Past Accepting new patients

Locations

510 Highway 32
Ste C
Lebanon, MO 65536
Phone (417) 269-2278

3801 S National Ave
Springfield, MO 65807
Phone (417) 269-4056

3555 S National Ave
Ste 104
Springfield, MO 65807

440 E Tampa St
Springfield, MO 65806
Phone (417) 831-0191

1720 W Grand St
Ste A
Springfield, MO 65802
Phone (417) 851-1625

2750 S Campbell Ave
Springfield, MO 65807
Phone (417) 269-2281

3801 S National Ave
Ste 1122
Springfield, MO 65807

Interoperability endpoints

  • Direct secure messaging: ibrahim.alahmad@cernerdirect.coxhealth.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2015019813 MO Yes

Addresses

Primary practice location

633 E Portland St
Springfield, MO 65807-2072

Mailing address

633 E Portland St
Springfield, MO 65807-2072

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 21, 2025.

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1467828202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 E PORTLAND ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658072072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 E PORTLAND ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658072072",
            "telephone_number": "000-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAHMAD",
        "first_name": "IBRAHIM",
        "middle_name": "ABDELHAMID",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-17",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2015019813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

All providers in Springfield, MO · Family Nurse Practitioner in Missouri

Sources for this page

Verify at the official NPI Registry.