Antony Ibrahim, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

T9708 Issued in TX

Practice address

13155 Noel Rd Ste 1900
Dallas, TX 75240-5052

Phone

(817) 247-3728

NPI assigned

Mar 31, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Faculty Physicians and Surgeons of LlusmGroup PAC ID 1153227814, 1,313 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sudario Home Health Care, Inc Home health agency, Glendale, CA, CCN 559227
• Med Care Plus Home Health Inc Home health agency, Pasadena, CA, CCN 058155
• Tender Home Health Home health agency, Granada Hills, CA, CCN 059525
• Ev Home Health Care Inc Home health agency, North Hollywood, CA, CCN 757863
• Loma Linda University Medical Center Hospital, Loma Linda, CA, CCN 050327
• Riverside University Health System-Medical Center Hospital, Moreno Valley, CA, CCN 050292

Merit-based Incentive Payment System (MIPS)

Final score

88.87 of 100Reported as group

Quality

72.13

Promoting interoperability

80

Improvement activities

40

Cost

77.36

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: susan.ruizbacacm.d1.p1@direct.jwch.nextgenshare.com
• Direct secure messaging: aibrahim941919@direct.llu.edu
• Direct secure messaging: antony.ibrahim@hca7.eclinicaldirectplus.com

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.

• Faculty Physicians and Surgeons of Llusm

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Apple Valley, CA
  • NPI 1205009917
  Medicare reassignment Care Compare group NPD
• Faculty Physicians and Surgeons of Llusm

  • Family Medicine Physician
  • Moreno Valley, CA
  • NPI 1558788331
  NPD
• Faculty Physicians and Surgeons of Llusm

  • Pediatric Cardiology Physician
  • Beaumont, CA
  • NPI 1871766121
  NPD
• Loma Linda University Medical Center

  • General Acute Care Hospital
  • Loma Linda, CA
  • NPI 1194731935
  NPD (past)

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

• County of Riverside

  • General Acute Care Hospital
  • Moreno Valley, CA
  • NPI 1821159195
  Care Compare affiliation
• Ev Home Health Care Inc

  • Home Health Agency
  • North Hollywood, CA
  • NPI 1083360317
  Care Compare affiliation
• Loma Linda University Medical Center

  • General Acute Care Hospital
  • Loma Linda, CA
  • NPI 1194731935
  Care Compare affiliation
• Med Care Plus Home Health, Inc.

  • Home Health Agency
  • Pasadena, CA
  • NPI 1871963140
  Care Compare affiliation
• Sudario Home Health Care, Inc.

  • Home Health Agency
  • Glendora, CA
  • NPI 1629535380
  Care Compare affiliation
• Tender Home Health

  • Home Health Agency
  • Mission Hills, CA
  • NPI 1811226392
  Care Compare affiliation

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1700414000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 SETON RD",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926122100",
            "telephone_number": "949-241-4991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13155 NOEL RD STE 1900",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752405052",
            "telephone_number": "817-247-3728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "ANTONY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-31",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "T9708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Meditech",
            "affiliation": "N",
            "address_1": "13155 Noel Rd Ste 1900",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752405052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ifeanyi Chidera Ibezue
• Michelle Oluwafunmilayo Ibidapo
• Ibidunni O Ukegbu PA
• Olaolu K Ibiwoye, B.PHARM
• Ibloom Wellness Clinic PLLC
• Hassan Nimer Ibrahim, M.B., B.S.
• Hicham Mohsen Ibrahim, M.D.
• Ibrahim Fuad Ibrahim, M.D.
• Kalid A Ibrahim, PHARMD.
• Khadijah Oluwatoyin Ibrahim, PMHNP-BC

• Family Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.

Verify at the official NPI Registry.