NPIMap

Individual provider Active NPI

George Ibrahim, MD

  • Surgery Physician
  • Rochester, NY
National Provider Identifier
1568697985
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
340037 Issued in NY
Practice address
360 Linden Oaks Ste 300
Rochester, NY 14625-2814
Phone
(585) 383-8830
Fax
(585) 383-8901
NPI assigned
May 29, 2009
Last updated
Nov 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD451901 PA
Surgery Physician 208600000X 340037 NY Primary
Surgery Physician 208600000X C1-0012386 DE

Addresses

Primary practice location

360 Linden Oaks Ste 300
Rochester, NY 14625-2814

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504

Other practice location 1

537 Stanton Christiana Rd Ste 102
Newark, DE 19713-2145
Phone (302) 892-9900

Other practice location 2

1561 Long Pond Rd Ste 220
Rochester, NY 14626-4135
Phone (585) 383-8830

Other practice location 3

1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-4518

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, NY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171121001902 DE Practitioner - General Surgery 2961713706 Reassigns benefits to 1 organization
I20251209002894 NY Practitioner - General Surgery 2961713706 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rochester General HospitalGroup PAC ID 0244149474, 1,192 clinicians

Practice addresses (Care Compare)

1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-4000

1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-4000

1561 Long Pond Rd
Suite 220
Rochester, NY 14626-4135
Phone (585) 383-8830

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.95 of 100Reported as apm
Quality
81.71
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C1-0012386DEMDSurgery Physician
340037NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice P.C. Surgery CurrentSince Jan 3, 2026 Accepting new patients
Christiana Institute of Advanced Surgery, PA Surgery CurrentSince Nov 1, 2017 Accepting new patients
Rochester General Hospital CurrentSince Dec 1, 2025 Accepting new patients
Rochester General Hospital Surgery CurrentSince Dec 1, 2025 Accepting new patients
Rochester General Hospital Current Accepting new patients
The Unity Hospital of Rochester CurrentSince Dec 1, 2025 Accepting new patients
The Unity Hospital of Rochester Current Accepting new patients
Rochester General Hospital Past Accepting new patients

Locations

537 Stanton Christiana Rd
Ste 102
Newark, DE 19713
Phone (302) 892-9900

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

1425 Portland Ave
#304
Rochester, NY 14621
Phone (585) 922-0866

1561 Long Pond Rd
Ste 220
Rochester, NY 14626
Phone (585) 368-3506

360 Linden Oaks
Ste 300
Rochester, NY 14625
Phone (585) 383-8830

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1243555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1568697985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 LINDEN OAKS STE 300",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252814",
            "telephone_number": "585-383-8830",
            "fax_number": "585-383-8901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "537 Stanton Christiana Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197132145",
            "country_code": "US",
            "telephone_number": "302-892-9900",
            "fax_number": "302-892-9980",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1561 Long Pond Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146264135",
            "country_code": "US",
            "telephone_number": "585-383-8830",
            "fax_number": "585-383-8901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1425 Portland Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146213011",
            "country_code": "US",
            "telephone_number": "585-922-4518",
            "fax_number": "585-336-5113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "GEORGE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-29",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD451901",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "340037",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "DE",
            "license": "C1-0012386",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.