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MRS. SYDNEY IBRAGIMOV PA-C
NPI 1083109474
Physician Assistant - Surgical in Hartford, CT

Active since June 27, 2018PECOS EnrolledAccepts Medicare Assignment
80 SEYMOUR ST, HARTFORD, CT 06102(860) 972-5022 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 4, 2024, May 22, 2023, Sep 29, 2022 and 2 more (5 updates tracked since 2018).

About Mrs. Sydney Ibragimov Pa-c NPPES

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

MRS. SYDNEY IBRAGIMOV PA-C (NPI 1083109474) is an individual surgical provider in Hartford, Connecticut, licensed in Connecticut (006083) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1083109474
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMRS. SYDNEY IBRAGIMOVCredential: PA-C
Location Address80 SEYMOUR STHartford, CT 06102-8000
Mailing Address80 Seymour StHartford, CT 06102-8000 · (860) 972-5022
Phone(860) 972-5022
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 27, 2018
Last NPPES UpdateJune 17, 20265 updates tracked since enumeration
NPPES CertifiedJune 17, 2026
✔ NPI 1083109474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in CT · 006083
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA7290 (MA)
80 SEYMOUR ST, Hartford, CT 06102
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Other Names 1

Former Name (1)Sydney Denault Pa-c

Other Identifiers 2

Medicaid110157892AMA
Medicaid3141199NH

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

Mrs. Sydney Ibragimov Pa-c 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 ID4183968647
PECOS Enrollment IDI20230530002402
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.

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.

JOAO DELGADO MD
Emergency Medicine
80 SEYMOUR ST, HARTFORD HOSPITAL TRAUMA PROGRAM
HARTFORD, CT 06102
Capitol Planning Region (860) 545-3112
TIMOTHY STEPHEN BOYD M.D.
Radiology (Radiation Oncology)
80 SEYMOUR ST, HARTFORD HOSPITAL THE GRAY CANCER CENTER
HARTFORD, CT 06102
Capitol Planning Region (860) 545-2803
DR. HELAINE FANNIE BERTSCH MD
Radiology (Radiation Oncology)
80 SEYMOUR ST
HARTFORD, CT 06102
Capitol Planning Region (860) 545-5702
DR. ANDREW LISTER SALNER M.D.
Radiology (Radiation Oncology)
80 SEYMOUR ST
HARTFORD, CT 06102
Capitol Planning Region (860) 545-2803
DR. KENNETH ALBERT LEOPOLD M.D.
Radiology (Radiation Oncology)
80 SEYMOUR ST
HARTFORD, CT 06102
Capitol Planning Region (860) 545-2803
DR. STEPHEN HAUSER M.D.
Radiology (Radiation Oncology)
80 SEYMOUR ST
HARTFORD, CT 06102
Capitol Planning Region (860) 545-2803
DR. ROBERT DOWSETT M.D.
Radiology (Radiation Oncology)
80 SEYMOUR ST
HARTFORD, CT 06102
Capitol Planning Region (860) 545-2803
DR. STANLEY EDWARD CHARTOFF M.D.
Emergency Medicine
80 SEYMOUR ST
HARTFORD, CT 06102
Capitol Planning Region (860) 545-4187

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 Sydney Ibragimov's NPI number?

The NPI number for Sydney Ibragimov is 1083109474. It was assigned to this individual provider in the NPPES registry on June 27, 2018. The provider is also known as Sydney Denault Pa-C.

Where is Sydney Ibragimov located?

Sydney Ibragimov practices at 80 Seymour St, Hartford, CT 06102. The listed phone number is (860) 972-5022.

What is Sydney Ibragimov's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Sydney Ibragimov enrolled in Medicare?

Yes. Sydney Ibragimov 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 Sydney Ibragimov was last updated on June 17, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.