Ahmed Mohamed Said Ibrahim, M.D., PH.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

ME138139 Issued in FL

Practice address

765 N Wickham Rd Ste 102
Melbourne, FL 32935-8869

Phone

(321) 559-7800

NPI assigned

Apr 1, 2014

Last updated

May 7, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: aibrahim@directaddress.net

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.

• Bermax II LLC

  dba Clevens Center for Facial Cosmetic Surgery

  • Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
  • Melbourne, FL
  • NPI 1326374901
  Medicare reassignment NPD

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1508284126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 N WICKHAM RD STE 102",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329358869",
            "telephone_number": "321-559-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 N WICKHAM RD STE 102",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329358869",
            "telephone_number": "321-559-7800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4100 W Kennedy Blvd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336092250",
            "country_code": "US",
            "telephone_number": "813-644-9964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "AHMED",
        "middle_name": "MOHAMED SAID",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-01",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME138139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Hutchinson
• Lisa Jeanne Hutchinson, M.S.
• Michelle Kay Hutton
• Richard Allan Hynes, MD
• I & I Labs, LLC
• Ichoose Change, LLC
• Iconico Chiropractic Inc
• Evelyn Ikpe
• Ilene a Scharf, MSW, LCSW, Inc
• Ilse W. Berube, DMD, PA

• Plastic Surgery Physician in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.