Active NPI
Emad N. Ibrahim, MD
- Hematology & Oncology Physician
- Redlands, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- A51062
- Practice address
- 245 Terracina Blvd Ste 206
Redlands, CA 92373-4867 - Phone
- (909) 793-4336
- Fax
- (909) 793-3325
- NPI assigned
- Jun 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | A51062 | CA | Primary |
Addresses
Primary practice location
245 Terracina Blvd Ste 206
Redlands, CA 92373-4867
Mailing address
PO Box 2200
Redlands, CA 92373-0722
Phone (909) 793-3311
Other practice location 1
245 Terracina Blvd Ste 208
Redlands, CA 92373-4851
Phone (909) 793-4336
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A510620 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
255 Terracina Blvd
Suite 104B
Redlands, CA 92373-4870
Phone (909) 793-4336
Hospital & facility affiliations
- Redlands Community Hospital
- Loma Linda University Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.87 of 100
- Quality
- 72.13
- Promoting interoperability
- 80
- Improvement activities
- 40
- Cost
- 77.36
Merit-based Incentive Payment System (MIPS)
- Final score
- 26.54 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 88.47
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A51062 | CA | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Emad Ibrahim, MD, Inc. | Current | Accepting new patients |
Locations
11234 Anderson St
#A600
Loma Linda, CA 92350
Phone (909) 558-2824
11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848
File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300
245 Terracina Blvd
Ste 208
Redlands, CA 92373
Phone (909) 307-0126
245 Terracina Blvd
Ste 206
Redlands, CA 92373
Phone (909) 307-9824
255 Terracina Blvd
Ste 104B
Redlands, CA 92373
Phone (909) 793-3293
Organizations & group practices 4
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.
-
- Oncology Clinic/Center
- Redlands, CA
- NPI 1114371481
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Apple Valley, CA
- NPI 1205009917
-
- Internal Medicine Physician
- Loma Linda, CA
- NPI 1366492399
-
- Family Medicine Physician
- Moreno Valley, CA
- NPI 1558788331
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Loma Linda, CA
- NPI 1194731935
-
- General Acute Care Hospital
- Redlands, CA
- NPI 1043354111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657843200000",
"number": "1598706129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2200",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923730722",
"telephone_number": "909-793-3311",
"fax_number": "909-796-4158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 TERRACINA BLVD STE 206",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923734867",
"telephone_number": "909-793-4336",
"fax_number": "909-793-3325"
}
],
"practiceLocations": [
{
"address_1": "245 Terracina Blvd Ste 208",
"address_purpose": "LOCATION",
"city": "Redlands",
"state": "CA",
"postal_code": "923734851",
"country_code": "US",
"telephone_number": "909-793-4336",
"fax_number": "909-793-3325",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IBRAHIM",
"first_name": "EMAD",
"middle_name": "N.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2022-07-15",
"certification_date": "2022-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "CA",
"license": "A51062",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A510620",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; 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.