Hany Clark Ibrahim, DO
Individual provider Active NPI Emergency Medicine Physician · Raleigh, NC
NPI 1790747434 · NPPES record last updated May 20, 2025
Key facts
- NPI
- 1790747434
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 200201479 (NC)
- Practice address
- 3000 New Bern Ave
Raleigh, NC 27610-1231 - Phone
- (843) 237-3378
- Fax
- (843) 237-5073
- NPI assigned
- Apr 6, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.95 of 100
- Quality
- 82.44
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040626000236 | NC | Practitioner - Emergency Medicine | 3173509585 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200201479 | NC | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bull City Physicians, PLLC | Emergency Medicine | Current |
Accepting new patients |
| Robeson Emergency Physicians, PLLC | Emergency Medicine | Current |
Accepting new patients |
| East Carolina Health-Bertie | Current |
Accepting new patients | |
| Gem Capital Physicians, PLLC | Emergency Medicine | Current |
Accepting new patients |
| Vidant Medical Group LLC | Current |
Accepting new patients | |
| East Carolina Health-Bertie | Emergency Medicine | Current |
Accepting new patients |
| Emergency Coverage, LLC | Emergency Medicine | Current |
Accepting new patients |
| Emergency Coverage Services, PC | Past | Accepting new patients | |
| Emergency Medicine Physicians of Lenoir County PLLC | Emergency Medicine | Past | Accepting new patients |
| North Carolina Emergency Physicians, PLLC | Emergency Medicine | Past |
Accepting new patients |
Locations
566 Ruin Creek Rd
Henderson, NC 27536
Phone (252) 436-1352
401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941
100 Airport Rd
Kinston, NC 28501
Phone (252) 522-7000
100 Hospital Dr
Louisburg, NC 27549
Phone (252) 438-4143
300 W 27th St
Lumberton, NC 28358
Phone (910) 671-5000
615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699
1403 S King St
Windsor, NC 27983
Phone (252) 794-6685
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 200201479 | NC | Yes |
Addresses
Primary practice location
3000 New Bern Ave
Raleigh, NC 27610-1231
Mailing address
PO Box 60968
Charlotte, NC 28260-0968
Phone (843) 237-3378
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00164016 | Other | NC | RAILROAD |
| 1337M | Other | NC | BCBS |
| 891337M | Medicaid | NC |
Other providers in Raleigh, NC
- Anne Leigh Ibach
- Ellaha Ibadi
- Ibis Health Services - North Carolina, PLLC
- Andrew Emil Ibrahim
- Bishoy Nazih Ibrahim
- Nedda Ihsan Ibrahim
- Nsaym Ibrahim
- Rumana Mohammed Salh Ibrahim
- Sherine Ibrahim
- Jamie Jo Ickard
All providers in Raleigh, NC · Emergency Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.