NPIMap

Individual provider Active NPI

Tarek Ibrahim, M.D.

  • Cardiovascular Disease Physician
  • Syracuse, NY
National Provider Identifier
1578978326
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MED-PHYS-LIC-79093 Issued in MT
Practice address
750 E Adams St
Dept of Internal Medicine
Syracuse, NY 13210-2306
Phone
(315) 464-9335
NPI assigned
Jun 30, 2014
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Cardiovascular Disease Physician 207RC0000X MED-PHYS-LIC-79093 MT Primary

Addresses

Primary practice location

750 E Adams St
Dept of Internal Medicine
Syracuse, NY 13210-2306

Mailing address

750 E Adams St Dept of
Syracuse, NY 13210-2306
Phone (315) 464-9335

Other practice location 1

47 New Scotland Ave
Department of Internal Medicine
Albany, NY 12208-3412
Phone (518) 262-3095

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, WY2 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
I20200629001457 MT Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1052657640 Reassigns benefits to 2 organizations
I20201026001428 WY Practitioner - Cardiovascular Disease (Cardiology) 1052657640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Daniels Memorial HospitalGroup PAC ID 4880685965, 21 clinicians
Billings ClinicGroup PAC ID 6002993516, shared by 7 NPIs, 814 clinicians

Practice addresses (Care Compare)

105 5TH Ave E
Scobey, MT 59263-7849
Phone (406) 487-2296

201 Yellowstone Ave
Cody, WY 82414-9313
Phone (307) 527-7561

801 N 29TH St
Billings, MT 59101-0905
Phone (406) 238-2500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.05 of 100Reported as group
Quality
59.76
Promoting interoperability
99
Improvement activities
40
Cost
54.58

Merit-based Incentive Payment System (MIPS)

Final score
87.02 of 100Reported as apm
Quality
71.3
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Billings Clinic CurrentSince Aug 1, 2020 Accepting new patients
Billings Clinic Current Accepting new patients
Billings Clinic CurrentSince Jul 24, 2020 Accepting new patients
Billings Clinic Cardiovascular Disease CurrentSince Jul 24, 2020 Accepting new patients
Daniels Memorial Hospital CurrentSince Apr 1, 2021 Accepting new patients
Daniels Memorial Hospital CurrentSince Apr 1, 2021 Accepting new patients
Billings Clinic Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

801 N 29th St
Billings, MT 59101
Phone (406) 238-2210

801 N 29th St
Fl 4
Billings, MT 59101
Phone (406) 238-2000

201 Yellowstone Ave
Cody, WY 82414
Phone (307) 527-7561

707 Sheridan Ave
Cody, WY 82414
Phone (307) 527-7561

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 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1578978326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 E ADAMS ST DEPT OF",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132102306",
            "telephone_number": "315-464-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E ADAMS ST",
            "address_2": "DEPT OF INTERNAL MEDICINE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132102306",
            "telephone_number": "315-464-9335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "47 New Scotland Ave",
            "address_2": "Department of Internal Medicine",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122083412",
            "country_code": "US",
            "telephone_number": "518-262-3095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "TAREK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-30",
        "last_updated": "2022-07-21",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MT",
            "license": "MED-PHYS-LIC-79093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.