Individual provider Active NPI

Kawsar Ibrahim, DPM

  • Foot Surgery Podiatrist
  • Brooklyn, NY
National Provider Identifier
1881256816
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N007251 Issued in NY
Practice address
7401 4TH Ave Apt A3
Brooklyn, NY 11209-2542
Phone
(917) 302-8342
NPI assigned
Jun 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X N007251 NY Primary
Foot Surgery Podiatrist 213ES0131X 25MD00369500 NJ

Addresses

Primary practice location

7401 4TH Ave Apt A3
Brooklyn, NY 11209-2542

Mailing address

35 Abingdon CT
Staten Island, NY 10308-1345
Phone (917) 302-8342

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221123001298 NY Practitioner - Podiatry 4284017054 Reassigns benefits to 1 organization
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7401 4TH Ave
Apt A3
Brooklyn, NY 11209-2542
Phone (718) 816-0237

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue71
Removal of skin lesions1-10
Removal of nail tissue420
Removal or shaving of skin growth125

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00369500NJMDFoot Surgery Podiatrist
N007251NYMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foundations Podiatry P.C. Foot Surgery CurrentSince Jan 17, 2023 Accepting new patients

Locations

1368 Clove Rd
Staten Island, NY 10301
Phone (718) 816-0237

Interoperability endpoints

  • Direct secure messaging: kibrahim69076@northwell.direct-ci.com

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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": "1561766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1881256816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 ABINGDON CT",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103081345",
            "telephone_number": "917-302-8342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7401 4TH AVE APT A3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112092542",
            "telephone_number": "917-302-8342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "KAWSAR",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-29",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N007251",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NJ",
            "license": "25MD00369500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.