Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KHADIJAH OLUWATOYIN IBRAHIM PMHNP-BC
NPI 1134805666
Nurse Practitioner - Psychiatric/Mental Health in Dallas, TX

Q: What is Khadijah Ibrahim's NPI number?

The NPI number for Khadijah Ibrahim is 1134805666. It was assigned to this individual provider in the NPPES registry on June 27, 2023.

Q: What is Khadijah Ibrahim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Khadijah Ibrahim was last updated on September 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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 June 27, 2023PECOS Enrolled

12221 MERIT DR STE 450, DALLAS, TX 75251(972) 770-1032 Get Directions Write a Review

NPPES record last updated: September 20, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Khadijah Oluwatoyin Ibrahim Pmhnp-bc NPPES

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

KHADIJAH OLUWATOYIN IBRAHIM PMHNP-BC (NPI 1134805666) is an individual psychiatric/mental health provider in Dallas, Texas, licensed in Texas (1116351) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Dallas, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1134805666

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameKHADIJAH OLUWATOYIN IBRAHIMCredential: PMHNP-BC

Location Address12221 MERIT DR STE 450Dallas, TX 75251-2294

Mailing Address113 Turks Cap TrlWylie, TX 75098-4626 · (713) 882-7674

Phone(972) 770-1032

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJune 27, 2023

Last NPPES UpdateSeptember 20, 2026

NPPES CertifiedSeptember 20, 2026

✔ NPI 1134805666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in TX · 1116351

12221 MERIT DR STE 450, Dallas, TX 75251

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Secondary Practice Location 1

Location 17808 Clodus Fields DrDallas, TX 75251-2206 · Phone (214) 764-7986 · Fax (214) 774-5824

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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

Khadijah Oluwatoyin Ibrahim Pmhnp-bc 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 ID5294197489

PECOS Enrollment IDI20230821001786

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 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.

114 services51 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

59 services21 patients

Assessment of emotional or behavioral problems 96127

Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.

28 services15 patients

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.

27 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75251 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

$88.19 typical visit price

range $57.18 – $172.86

Typical copayment $22.04 (range $14.29 – $43.21)

Most-billed visit code 99203

Established Patient

$100.80 typical visit price

range $18.48 – $141.20

Typical copayment $25.20 (range $4.62 – $35.30)

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 6

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

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