Faisal Ibrahim-Adam, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101277430 Issued in VA

Practice address

1840 Amherst St
Winchester, VA 22601-2808

Phone

(540) 536-8000

NPI assigned

May 27, 2020

Reactivated

Mar 1, 2022

Last updated

Jan 5, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, WV2 enrollments

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 2

Specialty

Internal Medicine

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shenandoah Memorial Hospital, Inc.Group PAC ID 2466360375, shared by 6 NPIs, 65 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Shenandoah Memorial Hospital Hospital, Woodstock, VA, CCN 491305
• Winchester Medical Center Hospital, Winchester, VA, CCN 490005
• Page Memorial Hospital, Inc Hospital, Luray, VA, CCN 491307

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: fibrahimadam1154670@valleyhealth.direct-ci.com

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.

• Hospitalist Medicine Physicians of Virginia LLC

  • Internal Medicine Physician
  • Winchester, VA
  • NPI 1770756991

  Single Specialty

  Medicare reassignment NPD
• Page Memorial Hospital, Inc.

  • Critical Access Hospital
  • Luray, VA
  • NPI 1326040684

  Single Specialty

  Medicare reassignment NPD
• Shenandoah Memorial Hospital, Inc.

  • Surgery Physician
  • Woodstock, VA
  • NPI 1407357015

  Single Specialty

  Medicare reassignment NPD
• Shenandoah Memorial Hospital, Inc.

  dba Valley Health Shenandoah Memorial Hospital Multispecialty Clinic

  • Rural Health Clinic/Center
  • Woodstock, VA
  • NPI 1952417735

  Single Specialty

  Medicare reassignment NPD
• Hospitalist Medicine Physicians of West Virginia, PLLC

  • Internal Medicine Physician
  • Wheeling, WV
  • NPI 1649575101

  Single Specialty

  Medicare reassignment NPD
• Page Memorial Hospital Inc.

  dba Valley Health Page Memoiral Hospital Family & Internal Medicine

  • Rural Health Clinic/Center
  • Luray, VA
  • NPI 1649284613
  NPD
• Page Memorial Hospital, Inc.

  dba Valley Health Shenandoah Medical Associates

  • Rural Health Clinic/Center
  • Front Royal, VA
  • NPI 1083236970

  Internal Medicine

  NPD
• Shenandoah Memorial Hospital, Inc.

  • Critical Access Hospital
  • Woodstock, VA
  • NPI 1033166442
  NPD

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

• Page Memorial Hospital, Inc.

  • Critical Access Hospital
  • Luray, VA
  • NPI 1326040684
  Care Compare affiliation
• Shenandoah Memorial Hospital, Inc.

  • Critical Access Hospital
  • Woodstock, VA
  • NPI 1033166442
  Care Compare affiliation
• Winchester Medical Center

  • General Acute Care Hospital
  • Winchester, VA
  • NPI 1619928017
  Care Compare affiliation
• Winchester Medical Center

  dba Valley Health Laboratories

  • Clinical Medical Laboratory
  • Winchester, VA
  • NPI 1790024909

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1590537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1821611617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 RESTON METRO PLZ APT 1819",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905943",
            "telephone_number": "848-252-0869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 AMHERST ST",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012808",
            "telephone_number": "540-536-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 W. Belvedere Avenue",
            "address_2": "Medical Education Office",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "21215",
            "country_code": "US",
            "telephone_number": "410-601-7649",
            "fax_number": "410-601-6308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IBRAHIM-ADAM",
        "first_name": "FAISAL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-27",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "deactivation_date": "2022-01-18",
        "reactivation_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101277430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Im Just Me Movement (Ijmm)
• Im Just Me Movement

• Internal Medicine Physician in Winchester, VA
• Providers in Winchester, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.