Radwan A Ibrahim, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

9701414 Issued in NC

Practice address

211 S Chestnut St
Gastonia, NC 28054-7177

Phone

(704) 866-0101

Fax

(704) 866-0103

NPI assigned

Sep 14, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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 1

Specialty

Internal MedicineAlso: General Practice

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Shelby, NC, CCN 347317
• Bayada Home Health Care, Inc Home health agency, Salisbury, NC, CCN 347325
• Centerwell Home Health Home health agency, Lincolnton, NC, CCN 347054
• Gentiva Health Services/Salisb Home health agency, Kannapolis, NC, CCN 347170
• Atrium Health Cleveland Hospital, Shelby, NC, CCN 340021

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Balsam Health of the Carolinas, PLLC

  • Primary Care Clinic/Center
  • Shelby, NC
  • NPI 1598257750

  NC

  Medicare reassignment NPD Authorized official
• Onsite Care PLLC

  • Geriatric Psychiatry Physician
  • Charlotte, NC
  • NPI 1912338328
  NPD (past)
• Access Telecare, PLLC

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1013303080

  Internal Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Atrium Health Hospitals Inc

  • General Acute Care Hospital
  • Shelby, NC
  • NPI 1669348991

  Hospital

  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Salisbury, NC
  • NPI 1508125816
  Care Compare affiliation
• Capital Care Resources, LLC

  • Home Health Agency
  • Lincolnton, NC
  • NPI 1417323296
  Care Compare affiliation
• Centerwell Certified Healthcare Corp.

  • Home Health Agency
  • Kannapolis, NC
  • NPI 1720010010
  Care Compare affiliation
• Total Care Home Health of North Carolina, LLC

  • Home Health Agency
  • Shelby, NC
  • NPI 1649203431
  Care Compare affiliation

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1497740682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4593 WATERFORD DR NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280277041",
            "telephone_number": "704-866-0101",
            "fax_number": "704-866-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S CHESTNUT ST",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280547177",
            "telephone_number": "704-866-0101",
            "fax_number": "704-866-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "RADWAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9701414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891103L",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ignited Minds ABA Inc
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• Uchechi Nwabugo Iloka, M.D.
• Im Here Care Providers LLC

• All providers in Gastonia, NC
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.

Verify at the official NPI Registry.