Ahmad Kharis Ibrahim, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35089308 Issued in OH

Practice address

3033 State Rd
Cuyahoga Falls, OH 44223-3614

Phone

(330) 928-6780

Fax

(330) 928-6785

NPI assigned

May 7, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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 1

Specialty

Family Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mercy Professional Care, LLCGroup PAC ID 7416857198, 53 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Medical Center Hospital, Canton, OH, CCN 360070

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Mercy Professional Care, LLC

  • Internal Medicine Physician
  • Canton, OH
  • NPI 1902827876

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Cleveland Clinic Mercy Hospital

  dba Mercy Medical Center

  • General Acute Care Hospital
  • Canton, OH
  • NPI 1366433195
  Medicare reassignment NPD
• Cleveland Clinic Mercy Hospital

  dba Mercy OB GYN Services and Mercy Ambulatory Care Clinic Internal Medi

  • Multi-Specialty Clinic/Center
  • Canton, OH
  • NPI 1376559799
  NPD
• Bes of Ohio, LLC

  dba MEDGroup

  • Emergency Medicine Physician
  • Fairlawn, OH
  • NPI 1275693798
  NPD (past)
• Bes of Ohio, LLC, Dba Medgroup

  • Emergency Medical Services (Emergency Medicine) Physician
  • Parma Heights, OH
  • NPI 1073623500
  NPD (past)
• Bes of Ohio, LLC, Dba Medgroup

  • Emergency Medicine Physician
  • Fairlawn, OH
  • NPI 1710979703

  Family Medicine

  NPD (past)
• Health Care Center Physicians, Inc.

  • Family Medicine Physician
  • Cuyahoga Falls, OH
  • NPI 1831105139
  NPD (past)
• WRH Physicians, Inc.

  • Pain Medicine Physician
  • Cuyahoga Falls, OH
  • NPI 1700025459
  NPD (past)

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

• Cleveland Clinic Mercy Hospital

  dba Mercy Medical Center

  • General Acute Care Hospital
  • Canton, OH
  • NPI 1366433195
  Care Compare affiliation

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204588800000",
    "number": "1861605909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 STATE RD",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442233614",
            "telephone_number": "330-928-6780",
            "fax_number": "330-928-6785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 STATE RD",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442233614",
            "telephone_number": "330-928-6780",
            "fax_number": "330-928-6785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "AHMAD",
        "middle_name": "KHARIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2008-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35089308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2734429",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Patrick Hull, MD
• Humility of Mary Housing, Inc.
• Eric Hussing
• Scott M Hussing, O.D.
• I Unite Corp
• Joseph T Iemma, MD
• George Ekene Ilodi, DO
• Incare Health and Wellness, Northern Ohio (Natl Church Res Home & Community Srvcs Northern Ohio Health & Wellness)
• Inclusive Hands Care LLC
• Independant Home Health Care Non-Aide

• Family Medicine Physician in Cuyahoga Falls, OH
• Providers in Cuyahoga Falls, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.