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SARA EBRAHIMI M.D.
NPI 1164165114
Student in an Organized Health Care Education/Training Program in Brooklyn, NY

Active since April 18, 2022PECOS Enrolled
506 6TH STREET, NEW YORK PRESBYTERIAN BROOKLYN METHODIS, BROOKLYN, NY 11215(718) 780-3000 Get Directions Write a Review

NPPES record last updated: February 3, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 6, 2025, Feb 3, 2023, Apr 18, 2022 (3 updates tracked since 2022).

About Sara Ebrahimi M.d. NPPES

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

SARA EBRAHIMI M.D. (NPI 1164165114) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1164165114
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSARA EBRAHIMICredential: M.D.
Location Address506 6TH STREET, NEW YORK PRESBYTERIAN BROOKLYN METHODISBrooklyn, NY 11215
Mailing Address506 6th St. Nyp Brooklyn Methodist HospitalBrooklyn, NY 11215 · (718) 780-3000
Phone(718) 780-3000
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 18, 2022
Last NPPES UpdateFebruary 3, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2023
✔ NPI 1164165114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
506 6TH STREET, NEW YORK PRESBYTERIAN BROOKLYN METHODIS, Brooklyn, NY 11215
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sara Ebrahimi M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890290464
PECOS Enrollment IDI20250924004011
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.

Medicare Billing Reassignment

Medicare enrollment records show Sara Ebrahimi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physician Affiliate Group Of New York PC
10 mi
Dietitian, Registered
506 LENOX AVE
New York, NY 10037
  • Reassigned Medicare billing, New York enrollment
  • 2,094 clinicians in this Medicare group
NPI 1013375526 (212) 939-2467

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Sara Ebrahimi's NPI number?

The NPI number for Sara Ebrahimi is 1164165114. It was assigned to this individual provider in the NPPES registry on April 18, 2022.

Where is Sara Ebrahimi located?

Sara Ebrahimi practices at 506 6th Street, New York Presbyterian Brooklyn Methodis, Brooklyn, NY 11215. The listed phone number is (718) 780-3000.

What is Sara Ebrahimi's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Sara Ebrahimi enrolled in Medicare?

Yes. Sara Ebrahimi is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sara Ebrahimi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sara Ebrahimi reassigns Medicare benefits to Physician Affiliate Group Of New York PC (New York, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sara Ebrahimi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sara Ebrahimi was last updated on February 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.