Individual provider Active NPI

Ibrahim Abdelhamid Alahmad, FNP-BC

  • Family Nurse Practitioner
  • Springfield, MO
National Provider Identifier
1467828202
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2015019813 Issued in MO
Practice address
633 E Portland St
Springfield, MO 65807-2072
Phone
(000) 000-0000
NPI assigned
Aug 17, 2015
Last updated
Mar 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 1

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

Addresses

Primary practice location

633 E Portland St
Springfield, MO 65807-2072

Mailing address

633 E Portland St
Springfield, MO 65807-2072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

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 100Reported as group
Quality
74.39
Promoting interoperability
100
Improvement activities
40
Cost
78.21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lester E Cox Medical Centers CurrentSince Sep 19, 2020 Accepting new patients
Lester E. Cox Medical Centers Current Accepting new patients
Advocates for a Healthy Community, Inc CurrentSince Jan 7, 2025 Accepting new patients
Advocates for a Healthy Community Inc CurrentSince Jan 7, 2025 Accepting new patients
Lester E Cox Medical Centers CurrentSince Sep 19, 2020 Accepting new patients
Ozarks Medical Center Past Accepting new patients
Advocates for a Healthy Community, Inc. Past Accepting new patients
Lester E Cox Medical Centers PastSince Jul 21, 2024 Accepting new patients

Locations

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

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

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

3555 S National Ave
Ste 104
Springfield, MO 65807

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

3801 S National Ave
Ste 1122
Springfield, MO 65807

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

Interoperability endpoints

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

Organizations & group practices 8

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "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

Sources for this page

Verify at the official NPI Registry.