Individual provider Active NPI

George Ibraheim, D.O.

  • Cardiovascular Disease Physician
  • Largo, FL
National Provider Identifier
1952606683
Registry record updated Jan 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
UO2637 Issued in FL
Practice address
2025 Indian Rocks Rd S
Largo, FL 33774-1035
Phone
(727) 586-7103
NPI assigned
Jan 11, 2011
Last updated
Jan 11, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X UO2637 FL Primary

Addresses

Primary practice location

2025 Indian Rocks Rd S
Largo, FL 33774-1035

Mailing address

2025 Indian Rocks Rd S
Largo, FL 33774-1035

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MI2 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
I20160909001232 FL Practitioner - Internal MedicinePractitioner - Interventional Pain Management 8628364130 Reassigns benefits to 4 organizations
I20211201000509 MI Practitioner - Cardiovascular Disease (Cardiology) 8628364130

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Interventional Pain Management
Education
New York College of Osteo Medicine of New York Institute of Technology, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiovascular Specialists of South FloridaGroup PAC ID 2668443144, 5 clinicians

Practice addresses (Care Compare)

1926 10TH Ave N
405 Lake Worth
Lake Worth Beach, FL 33461-3368
Phone (954) 447-5206

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
UO2637FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wound Care Now CurrentSince Oct 6, 2025 Accepting new patients
Michigan Healthcare Center CurrentSince Aug 18, 2021 Accepting new patients
Cardiovascular Specialists of South Florida Cardiovascular Disease CurrentSince Mar 10, 2024 Accepting new patients

Locations

10650 W State Road 84
Ste 104
Davie, FL 33324
Phone (954) 382-1550

1926 10th Ave N
Ste 405
Lake Worth Beach, FL 33461
Phone (844) 487-8346

12277 SW 130th St
Miami, FL 33186
Phone (305) 244-5883

15680 SW 88th St
Ste 201
Miami, FL 33196
Phone (305) 432-1911

601 N Flamingo Rd
Ste 305
Pembroke Pnes, FL 33028
Phone (954) 382-1550

2010 15th St
Bay City, MI 48708
Phone (989) 893-8361

G3267 Beecher Rd
Flint, MI 48532
Phone (248) 331-7239

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BFAJAA

Organizations & group practices 5

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": "1294704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294704000000",
    "number": "1952606683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 INDIAN ROCKS RD S",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337741035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 INDIAN ROCKS RD S",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337741035",
            "telephone_number": "727-586-7103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHEIM",
        "first_name": "GEORGE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-11",
        "last_updated": "2011-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "UO2637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.