Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

AHMED EMAD IBRAHIM MOHAMED IBRAHIM
NPI 1104735893
Pediatrics in Springfield, IL

Q: What is Ahmed Emad Ibrahim Mohamed Ibrahim's NPI number?

The NPI number for Ahmed Emad Ibrahim Mohamed Ibrahim is 1104735893. It was assigned to this individual provider in the NPPES registry on September 7, 2026.

Q: What is Ahmed Emad Ibrahim Mohamed Ibrahim's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since September 07, 2026PECOS Enrolled

400 N 9TH ST STE 4A, SPRINGFIELD, IL 62702(217) 545-2905 Get Directions Write a Review

NPPES record added: September 7, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Ahmed Emad Ibrahim Mohamed Ibrahim NPPES

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

AHMED EMAD IBRAHIM MOHAMED IBRAHIM (NPI 1104735893) is an individual pediatrics provider in Springfield, Illinois, licensed in Illinois (125.087248) and active in the NPI registry since September 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104735893

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameAHMED EMAD IBRAHIM MOHAMED IBRAHIM

Location Address400 N 9TH ST STE 4ASpringfield, IL 62702-5310

Mailing AddressPo Box 19658Springfield, IL 62794-9658

Phone(217) 545-2905

Sole ProprietorNo

Enumeration DateSeptember 7, 2026

NPPES CertifiedSeptember 7, 2026

✔ NPI 1104735893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in IL · 125.087248

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

400 N 9TH ST STE 4A, Springfield, IL 62702

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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 (PECOS)

Ahmed Emad Ibrahim Mohamed Ibrahim is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62702 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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 9

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

ALI SHAHIN

Pediatrics