DR. SAMIR JAMAL IBRAHIM MD
NPI 1043892771
Emergency Medicine in Tucson, AZ
About Dr. Samir Jamal Ibrahim Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SAMIR JAMAL IBRAHIM MD (NPI 1043892771) is an individual emergency medicine provider in Tucson, Arizona, licensed in Arizona (R78612) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Samir Jamal Ibrahim Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Samir Ibrahim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stockton, CA 95210
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85719 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TUCSON, AZ 85719
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Samir Ibrahim's NPI number?
The NPI number for Samir Ibrahim is 1043892771. It was assigned to this individual provider in the NPPES registry on April 22, 2021.
Where is Samir Ibrahim located?
Samir Ibrahim practices at 1625 N Campbell Ave, Tucson, AZ 85719. The listed phone number is (520) 626-7233.
What is Samir Ibrahim's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Samir Ibrahim enrolled in Medicare?
Yes. Samir Ibrahim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Samir Ibrahim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samir Ibrahim reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samir Ibrahim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Samir Ibrahim was last updated on April 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Samir Jamal Ibrahim, MD · NPI 1043892771
Emergency Medicine physician in Tucson, Arizona. Individual provider, active in the CMS NPPES registry since April 22, 2021.
## Identity
- **NPI:** 1043892771 (Entity type: Individual)
- **Enumerated:** April 22, 2021
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** R78612 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 1625 N CAMPBELL AVE, Tucson, AZ 85719-4330
- **Phone:** (520) 626-7233
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1548343510, Stockton, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** April 22, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1043892771) · Data from the CMS NPPES public registry.