NPIMap

Individual provider Active NPI

Dina Ibrahim, M.D

  • Hematology & Oncology Physician
  • Fresno, CA
National Provider Identifier
1780625376
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
C51181 Issued in CA
Practice address
6121 N Thesta St Ste 204
Fresno, CA 93710-5294
Phone
(559) 554-2100
Fax
(559) 554-2114
NPI assigned
Jun 8, 2006
Last updated
May 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X C51181 CA Primary

Addresses

Primary practice location

6121 N Thesta St Ste 204
Fresno, CA 93710-5294

Mailing address

7065 N. Maple Ave
Ste 102
Fresno, CA 93720
Phone (559) 554-2100

Other identifiers 4

IdentifierTypeStateIssuer
ZZZ37565ZOtherCAGROUP PTAN
C51181OtherCACALIF. MEDICAL LICENSE
4668885OtherECFMG
CA1866078OtherCAINDIVIDUAL MEDICARE PTAN NUMBER

Other names 1

  • Dr. Dina Ibrahim Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040712001591 CA Practitioner - Hematology/OncologyPractitioner - Internal Medicine 4183602444 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

7065 N Maple Ave
Suite 102
Fresno, CA 93720-8013
Phone (559) 554-2100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.04 of 100Reported as group
Quality
78.62
Promoting interoperability
100
Improvement activities
40
Cost
75.31

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
89.27
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C51181CAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Sierra Vista CurrentSince Jul 30, 2025 Accepting new patients
Clinica Sierra Vista CurrentSince Jul 30, 2025 Accepting new patients
Premier Cancer Care and Infusion Center Hematology & Oncology CurrentSince Nov 25, 2022 Accepting new patients
Premier Cancer Care and Infusion Center CurrentSince May 12, 2022 Accepting new patients
Clinica Sierra Vista Current Accepting new patients
Community Health Partners CurrentSince Nov 1, 2020 Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients
Saint Agnes Medical Center Past Accepting new patients
Clinica Sierra Vista Past Accepting new patients
VHS Detroit Receiving Hospital Inc Past Accepting new patients

Locations

785 N Medical Center Dr W
Ste 203
Clovis, CA 93611
Phone (559) 387-1900

1350 S Orange Ave
Fresno, CA 93702
Phone (559) 457-5400

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

2740 S Elm Ave
Fresno, CA 93706
Phone (559) 457-5200

45 E River Park Pl W
Ste 104
Fresno, CA 93720
Phone (559) 320-0550

6121 N Thesta St
Ste 204
Fresno, CA 93710
Phone (559) 438-7390

7065 N Maple Ave
Fresno, CA 93720
Phone (559) 299-9989

7065 N Maple Ave
Ste 102
Fresno, CA 93720
Phone (559) 322-0887

7257 N Fresno St
Fresno, CA 93720
Phone (559) 447-4050

805 W Acequia Ave
Ste 2D
Visalia, CA 93291
Phone (559) 622-8687

580 E Plumb Ln
Reno, NV 89502
Phone (775) 826-7474

Interoperability endpoints

  • Direct secure messaging: dina.ibrahim.1@17661.direct.athenahealth.com

Organizations & group practices 10

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 5

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

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": "1748476800000",
    "number": "1780625376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7065 N. MAPLE AVE",
            "address_2": "STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93720",
            "telephone_number": "559-554-2100",
            "fax_number": "559-554-2114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6121 N THESTA ST STE 204",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105294",
            "telephone_number": "559-554-2100",
            "fax_number": "559-554-2114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "DINA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "C51181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "ZZZ37565Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIF. MEDICAL LICENSE",
            "identifier": "C51181",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECFMG",
            "identifier": "4668885",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL MEDICARE PTAN NUMBER",
            "identifier": "CA1866078",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DINA",
            "last_name": "IBRAHIM",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.