Ibrahim R Mady, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

D0032669 Issued in MD

Practice address

6620 Crain Hwy
Ste 104
La Plata, MD 20646

Phone

(301) 934-2299

Fax

(301) 392-2119

NPI assigned

Jan 31, 2007

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 MD, DC2 enrollments

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 2

Specialty

General Practice

Education

Other, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Med-Ped Health Care LLCGroup PAC ID 0941108237, 6 clinicians

Express Healthcare, LLCGroup PAC ID 2860660743, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ibrahim.mady.1@19581.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/19581/brand/1/csg/1/fhir/r4

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.

• Express Healthcare, LLC

  • Urgent Care Clinic/Center
  • Berwyn Heights, MD
  • NPI 1598994733

  DC

  Medicare reassignment Care Compare group NPD
• Med-Ped Health Care LLC

  • Family Medicine Physician
  • Berwyn Heights, MD
  • NPI 1336296730

  DC

  Medicare reassignment Care Compare group NPD
• Med-Surg Care PC

  • General Practice Physician
  • La Plata, MD
  • NPI 1568507945
  Medicare reassignment Authorized official
• Express Healthcare, LLC

  • Urgent Care Clinic/Center
  • College Park, MD
  • NPI 1447605712
  NPD (past)
• Family Medcare, LLC

  • Health Service Clinic/Center
  • Bryans Road, MD
  • NPI 1346421039
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334016000000",
    "number": "1629115332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6620 CRAIN HWY",
            "address_2": "STE 104",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "20646",
            "telephone_number": "301-934-2299",
            "fax_number": "301-392-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6620 CRAIN HWY",
            "address_2": "STE 104",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "20646",
            "telephone_number": "301-934-2299",
            "fax_number": "301-392-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADY",
        "first_name": "IBRAHIM",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2012-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MD",
            "license": "D0032669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denay Jamell Lowden-Brown, LCPC
• Alyson Lowery
• Marie Tana Luzincourt
• Gretchen Ann Machesney, NP
• Daniel Gerard Madigan, LGPC
• Nicole Major, LCSW-C
• Madhubalan Mani, MD
• Rebecca Marquez-Rodriguez
• Dena R Marseglia, RN, BSN
• Joseph V Martin IV

• General Practice Physician in La Plata, MD
• Providers in La Plata, MD by specialty
• General Practice Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; 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.