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DR. THERESE A IBRAHIM MD
NPI 1063514172
Family Medicine in Ormond Beach, FL

Active since September 01, 2006PECOS EnrolledAccepts Medicare Assignment
420 S NOVA RD STE 4&5, ORMOND BEACH, FL 32174(386) 615-8122(844) 899-3686 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 29, 2021, Sep 9, 2020, Jan 4, 2019 and 1 more (4 updates tracked since 2018).

About Dr. Therese A Ibrahim Md NPPES

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

DR. THERESE A IBRAHIM MD (NPI 1063514172) is an individual family medicine provider in Ormond Beach, Florida, licensed in Florida (ME94322) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Halifax Health Medical Center, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1063514172
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. THERESE A IBRAHIMCredential: MD
Location Address420 S NOVA RD STE 4&5Ormond Beach, FL 32174-0410
Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (305) 500-2000
Phone(386) 615-8122
Fax(844) 899-3686
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateSeptember 1, 2006
Last NPPES UpdateFebruary 17, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2026
✔ NPI 1063514172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME94322
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
420 S NOVA RD STE 4&5, Ormond Beach, FL 32174
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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

Dr. Therese A 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.

PECOS PAC ID5890871768
PECOS Enrollment IDI20080319000022
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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
42 services25 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
19 services12 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Halifax Health Medical Center

Acute Care Hospitals · Daytona Beach, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100017
Location303 N Clyde Morris BlvdDaytona Beach, FL 32114 · Volusia County
Emergency services Birthing friendly

Adventhealth Daytona Beach

Acute Care Hospitals · Daytona Beach, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100068
Location301 Memorial Medical ParkwayDaytona Beach, FL 32117 · Volusia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32174 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AARON J PORTER DO
Family Medicine
420 S NOVA RD STE 4&5
ORMOND BEACH, FL 32174
Flagler County (386) 615-8122
MARIA GONTCHAROVA MD
Internal Medicine
420 S NOVA RD STE 4&5
ORMOND BEACH, FL 32174
Flagler County (386) 615-8122
MINA B ZAHEDI MD
Internal Medicine
420 S NOVA RD STE 4&5
ORMOND BEACH, FL 32174
Flagler County (386) 615-8122

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 Therese Ibrahim's NPI number?

The NPI number for Therese Ibrahim is 1063514172. It was assigned to this individual provider in the NPPES registry on September 1, 2006.

Where is Therese Ibrahim located?

Therese Ibrahim practices at 420 S Nova Rd Ste 4&5, Ormond Beach, FL 32174. The listed phone number is (386) 615-8122.

What is Therese Ibrahim's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Therese Ibrahim enrolled in Medicare?

Yes. Therese 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.

Is Therese Ibrahim affiliated with any hospitals?

According to CMS data, Therese Ibrahim is affiliated with Halifax Health Medical Center and Adventhealth Daytona Beach.

When was this NPI record last updated?

The NPPES record for Therese Ibrahim was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.