Active NPI
George Ibraheim, D.O.
- Cardiovascular Disease Physician
- Largo, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- UO2637
- Practice address
- 2025 Indian Rocks Rd S
Largo, FL 33774-1035 - Phone
- (727) 586-7103
- NPI assigned
- Jan 11, 2011
- Last updated
- Jan 11, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- 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
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
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 15 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| UO2637 | FL | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wound Care Now | Current | Accepting new patients | |
| Michigan Healthcare Center | Current | Accepting new patients | |
| Cardiovascular Specialists of South Florida | Cardiovascular Disease | Current | 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
- 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.
-
- Cardiovascular Disease Physician
- Davie, FL
- NPI 1922012087
-
- Multi-Specialty Clinic/Center
- Miami, FL
- NPI 1043106834
-
- Addiction Medicine (Family Medicine) Physician
- Homestead, FL
- NPI 1477134658
-
- Pain Medicine Physician
- Melbourne, FL
- NPI 1184382996
-
- Family Medicine Physician
- Flint, MI
- NPI 1275858862
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pensacola, FL
- NPI 1700979465
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; 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.