MARYANNE ROSE IBRAHIM M.D.
NPI 1053846790
Internal Medicine in Fountain Valley, CA

Q: What is Maryanne Ibrahim's NPI number?

The NPI number for Maryanne Ibrahim is 1053846790. It was assigned to this individual provider in the NPPES registry on May 1, 2017.

Q: What is Maryanne Ibrahim's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Maryanne Ibrahim was last updated on August 1, 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.

Active since May 01, 2017PECOS EnrolledAccepts Medicare Assignment

76.74/100

CMS Quality Rating

17360 BROOKHURST ST, FOUNTAIN VALLEY, CA 92708(714) 665-4614(714) 665-1797 Get Directions Write a Review

NPPES record last updated: August 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Maryanne Rose Ibrahim M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARYANNE ROSE IBRAHIM M.D. (NPI 1053846790) is an individual internal medicine provider in Fountain Valley, California, licensed in California (A171435) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (2017).

NPPES Registry Identity

NPI1053846790

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameMARYANNE ROSE IBRAHIMCredential: M.D.

Location Address17360 BROOKHURST STFountain Valley, CA 92708-3720

Mailing Address17360 Brookhurst StFountain Valley, CA 92708-3720 · (714) 665-4614

Phone(714) 665-4614

Fax(714) 665-1797

Sole ProprietorNo

Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2017

Enumeration DateMay 1, 2017

Last NPPES UpdateAugust 1, 2021

NPPES CertifiedAugust 1, 2021

✔ NPI 1053846790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CA · A171435

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

17360 BROOKHURST ST, Fountain Valley, CA 92708

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Maryanne Rose Ibrahim M.d. 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.

PECOS PAC ID3577960160

PECOS Enrollment IDI20210923003788

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

262 services97 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

86 services30 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

86 services86 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

59 services58 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92708 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.74/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

80.94

Promoting Interoperability

Improvement Activities

Cost

55.12

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers12 claims12 services$61.40 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. VINA NGUYEN M. D.

Hospitalist

17360 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708

Orange County (714) 665-1797

DR. PAUL D SYCHANGCO M.D,

Internal Medicine

17360 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708

Orange County (877) 844-0012

DR. LYDIA MICHELLE SIMON PHARM.D.

Pharmacist

17360 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708

Orange County (657) 241-3248

XUANMAI NGUYEN

Dietitian, Registered

17360 BROOKHURST ST, ATTN: REGISTERED DIETITIAN DEPARTMENT
FOUNTAIN VALLEY, CA 92708

Orange County (714) 916-0881

MS. JUDY ANN PICAZO N.P.

Nurse Practitioner

17360 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708

Orange County (714) 944-1771

TANYA DANSKY M.D.

Pediatrics

17360 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708

Orange County (714) 377-2900

EDDIE LY M.D.

Internal Medicine

17360 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708

Orange County (714) 665-1797

SUZIE KUNAKOFF RD

Dietitian, Registered

17360 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708

Orange County (877) 696-3622

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 Maryanne Ibrahim's NPI number?

The NPI number for Maryanne Ibrahim is 1053846790. It was assigned to this individual provider in the NPPES registry on May 1, 2017.

Where is Maryanne Ibrahim located?

Maryanne Ibrahim practices at 17360 Brookhurst St, Fountain Valley, CA 92708. The listed phone number is (714) 665-4614.

What is Maryanne Ibrahim's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Maryanne Ibrahim enrolled in Medicare?

Yes. Maryanne 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.

When was this NPI record last updated?

The NPPES record for Maryanne Ibrahim was last updated on August 1, 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.