Active NPI
Rimon M Ibrahim, M.D.
- Internal Medicine Physician
- Clintwood, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101051077
- Practice address
- 312 Hospital Dr
Clintwood, VA 24228-6786 - Phone
- (276) 926-0300
- NPI assigned
- Jun 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 0101051077 | VA | |
| Internal Medicine Physician | 207R00000X | 0101051077 | VA | Primary |
Addresses
Primary practice location
312 Hospital Dr
Clintwood, VA 24228-6786
Mailing address
200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698
Other practice location 1
5607 Dickenson Hwy
Clintwood, VA 24228-7009
Phone (276) 926-4601
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811934698 | Medicaid | VA | |
| 010264995 | Medicaid | VA |
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Norton, VA
- NPI 1386183028
Emergency Medicine, VA
-
- Emergency Medicine Physician
- Maryville, TN
- NPI 1003230236
Emergency Medicine, VA
-
- General Acute Care Hospital
- Norton, VA
- NPI 1275723405
-
- Pediatrics Physician
- Norton, VA
- NPI 1609804251
Internal Medicine
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Wise, VA
- NPI 1962607192
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Western Virginia Regional Emergency Physicians LLCDickenson Medical Clinic PC
Practice addresses (Care Compare)
312 Hospital Dr
Clintwood, VA 24228-6786
Phone (276) 926-0300
5607 Dickenson Hwy
Clintwood, VA 24228-7009
Phone (276) 926-4601
Hospital & facility affiliations
- Adoration Home Health
- Dickenson Community Hospital
- Lonesome Pine Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.12 of 100
- Quality
- 64.75
- Improvement activities
- 40
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040930000263 | VA | Practitioner - Internal Medicine | 5496724098 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101051077 | VA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| App of Tennessee Ed, PLLC | Emergency Medicine | Current | Accepting new patients |
| Western Virginia Regional Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| Western Virginia Hma Physician Management Inc | Internal Medicine | Past | Accepting new patients |
| Emergency Coverage, LLC | Emergency Medicine | Past | Accepting new patients |
| Norton Hma | Past | Accepting new patients |
Locations
200 Corporate Blvd
Lafayette, LA 70508
16000 Johnston Memorial Dr
Abingdon, VA 24211
Phone (276) 258-1000
1990 Holton Ave E
Big Stone Gap, VA 24219
Phone (276) 523-3111
312 Hospital Dr
Clintwood, VA 24228
Phone (276) 439-1450
100 15th St NW
Norton, VA 24273
Phone (276) 439-1000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773878400000",
"number": "1811934698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CORPORATE BLVD",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705083870",
"telephone_number": "800-893-9698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 HOSPITAL DR",
"city": "CLINTWOOD",
"state": "VA",
"postal_code": "242286786",
"telephone_number": "276-926-0300"
}
],
"practiceLocations": [
{
"address_1": "5607 Dickenson Hwy",
"address_purpose": "LOCATION",
"city": "Clintwood",
"state": "VA",
"postal_code": "242287009",
"country_code": "US",
"telephone_number": "276-926-4601",
"fax_number": "276-926-4602",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IBRAHIM",
"first_name": "RIMON",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-01",
"last_updated": "2026-03-19",
"certification_date": "2026-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VA",
"license": "0101051077",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101051077",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1811934698",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010264995",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clintwood, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; 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.