Individual provider Active NPI

Ahmed F Ebraheem, M.D

  • Internal Medicine Physician
  • Melbourne, FL
National Provider Identifier
1902287840
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME166073 Issued in FL
Practice address
1350 Hickory St
Melbourne, FL 32901-3224
Phone
(321) 434-1771
NPI assigned
Jun 16, 2015
Last updated
Jan 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME166073 FL Primary
Internal Medicine Physician 207R00000X 35.133234 OH
Internal Medicine Physician 207R00000X 1.063933 CT
Hospitalist Physician 208M00000X ME166073 FL
Hospitalist Physician 208M00000X 1.063933 CT

Addresses

Primary practice location

1350 Hickory St
Melbourne, FL 32901-3224

Mailing address

3300 S Fiske Blvd
Rockledge, FL 32955-4306
Phone (321) 434-1771

Other practice location 1

1810 Eldron Blvd SE
Palm Bay, FL 32909-6831
Phone (321) 361-5587

Other practice location 2

730 Malabar Rd
Malabar, FL 32950-3140
Phone (321) 361-5587

Other practice location 3

1846 Highway 1
Rockledge, FL 32955-2822
Phone (321) 361-5587

Other practice location 4

220 N Sykes Creek Pkwy
Merritt Island, FL 32953-3462
Phone (321) 361-5587

Other practice location 5

1855 Knox McRae Dr
Titusville, FL 32780-5492
Phone (321) 361-5587

Other practice location 6

7125 Murrell Rd
Melbourne, FL 32940-7999
Phone (321) 361-5587

Other identifiers 2

IdentifierTypeStateIssuer
121671600MedicaidFL
SO885OtherFLMEDICARE HF

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, FL2 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

Enrollment IDStateProvider typePAC IDDetails
I20231114001135 IN Practitioner - Internal Medicine 3971850975 Reassigns benefits to 1 organization
I20240319000046 FL Practitioner - Internal MedicinePractitioner - Hospitalist 3971850975 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health First Medical Group, LLCGroup PAC ID 7416100672, 701 clinicians

Practice addresses (Care Compare)

1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-1401

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.133234OHMDInternal Medicine Physician
1.063933CTMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health First Medical Group, LLC CurrentSince May 5, 2024 Accepting new patients
New Albany Hospitalist Group, LLC Hospitalist CurrentSince Oct 10, 2023 Accepting new patients
Pensacola Hospitalist Physicians, LLC Hospitalist Current Accepting new patients
Pensacola Hospitalist Physicians, LLC Hospitalist CurrentSince Aug 20, 2024 Accepting new patients
Health First Medical Group, LLC Internal Medicine CurrentSince May 5, 2024 Accepting new patients
Health First Physician Specialties Inc Past Accepting new patients

Locations

699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272

730 Malabar Rd
Malabar, FL 32950
Phone (321) 409-6800

730 Malabar Rd
Ste A
Malabar, FL 32950
Phone (321) 312-3467

1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771

220 N Sykes Creek Pkwy
Merritt Island, FL 32953
Phone (321) 361-5587

220 N Sykes Creek Pkwy
Ste 301
Merritt Island, FL 32953
Phone (321) 361-5535

1810 Eldron Blvd SE
Palm Bay, FL 32909
Phone (321) 312-3466

1000 W Moreno St
Pensacola, FL 32501
Phone (850) 434-4011

123 Baptist Way
Pensacola, FL 32503
Phone (850) 434-4011

1846 Highway 1
Ste A
Rockledge, FL 32955
Phone (321) 361-5597

3300 S Fiske Blvd
Rockledge, FL 32955
Phone (321) 434-1771

1855 Knox McRae Dr
Titusville, FL 32780
Phone (321) 269-2028

7125 Murrell Rd
Viera, FL 32940
Phone (321) 242-8790

7125 Murrell Rd
Ste B
Viera, FL 32940
Phone (321) 361-5585

7125 Murrell Rd
Ste D
Viera, FL 32940
Phone 3212428790 ext. 2510

7125 Murrell Rd
Ste F
Viera, FL 32940
Phone (321) 361-5595

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

Interoperability endpoints

  • Direct secure messaging: aebraheem21122@epicdirect.hf.org
  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1902287840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 S FISKE BLVD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329554306",
            "telephone_number": "321-434-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 HICKORY ST",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013224",
            "telephone_number": "321-434-1771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1810 Eldron Blvd SE",
            "address_purpose": "LOCATION",
            "city": "Palm Bay",
            "state": "FL",
            "postal_code": "329096831",
            "country_code": "US",
            "telephone_number": "321-361-5587",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "730 Malabar Rd",
            "address_purpose": "LOCATION",
            "city": "Malabar",
            "state": "FL",
            "postal_code": "329503140",
            "country_code": "US",
            "telephone_number": "321-361-5587",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1846 Highway 1",
            "address_purpose": "LOCATION",
            "city": "Rockledge",
            "state": "FL",
            "postal_code": "329552822",
            "country_code": "US",
            "telephone_number": "321-361-5587",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "220 N Sykes Creek Pkwy",
            "address_purpose": "LOCATION",
            "city": "Merritt Island",
            "state": "FL",
            "postal_code": "329533462",
            "country_code": "US",
            "telephone_number": "321-361-5587",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1855 Knox McRae Dr",
            "address_purpose": "LOCATION",
            "city": "Titusville",
            "state": "FL",
            "postal_code": "327805492",
            "country_code": "US",
            "telephone_number": "321-361-5587",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7125 Murrell Rd",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329407999",
            "country_code": "US",
            "telephone_number": "321-361-5587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EBRAHEEM",
        "first_name": "AHMED",
        "middle_name": "F",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-16",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME166073",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.133234",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "1.063933",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME166073",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CT",
            "license": "1.063933",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121671600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE HF",
            "identifier": "SO885",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.