Ibrahim Im Salih MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

D0042461 Issued in MD

Legal business name

IBRAHIM IM SALIH MD PC

Practice address

7610 Pennsylvania Ave
Suite 200
District Heights, MD 20747

Phone

(301) 817-3001

Fax

(301) 817-3005

NPI assigned

Jul 28, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Ibrahim I.M. SalihNPI 1043374929

Title

Owner

Phone

(301) 817-3001

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ibrahim I.M. Salih, M.D.

  • Primary Care Clinic/Center
  • Forestville, MD
  • NPI 1043374929

  DC

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674086400000",
    "number": "1710291083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10369",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209140369",
            "telephone_number": "301-817-3001",
            "fax_number": "301-817-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7610 PENNSYLVANIA AVE",
            "address_2": "SUITE 200",
            "city": "DISTRICT HEIGHTS",
            "state": "MD",
            "postal_code": "20747",
            "telephone_number": "301-817-3001",
            "fax_number": "301-817-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBRAHIM IM SALIH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-28",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A",
        "authorized_official_last_name": "SALIH",
        "authorized_official_first_name": "IBRAHIM",
        "authorized_official_middle_name": "I.M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-817-3001",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0042461",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MD",
            "license": "D0042461",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "043341100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "508449",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Johnnie Hill
• Dakeda Hilliard
• Elizabeth Hilton
• Shanell Holmes, LPC,NCC
• House of Still Inc
• Yusuf Olusesan Ibrahim
• Estella A Igus
• Impact Home Care LLC
• Mulikat Ishola
• Ayawovi Jackatey

• Family Medicine Physician in District Heights, MD
• Providers in District Heights, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.