SAMUEL IBRAHIM, MD, INC
NPI 1184081432
Surgery in La Quinta, CA
About Samuel Ibrahim, Md, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMUEL IBRAHIM, MD, INC (NPI 1184081432) is a healthcare organization registered as a surgery in La Quinta, California and active in the NPI registry since January 2016. The organization lists Samuel Ibrahim, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Samuel Ibrahim, Md, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Samuel Ibrahim, MD, Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
La Quinta, CA 92253
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 Samuel Ibrahim, MD, Inc's NPI number?
The NPI number for Samuel Ibrahim, MD, Inc is 1184081432. It was assigned to this organization in the NPPES registry on January 18, 2016.
Where is Samuel Ibrahim, MD, Inc located?
Samuel Ibrahim, MD, Inc is located at 79180 Corporate Center Dr Suite 101, La Quinta, CA 92253. The listed phone number is (760) 837-7910.
What is Samuel Ibrahim, MD, Inc's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Samuel Ibrahim, MD, Inc enrolled in Medicare?
Yes. Samuel Ibrahim, MD, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Samuel Ibrahim, MD, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Samuel Ibrahim, MD, Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Samuel Ibrahim, MD, Inc was last updated on January 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Samuel Ibrahim, Md, Inc · NPI 1184081432
Surgery organization in La Quinta, California. Organization record, active in the CMS NPPES registry since January 18, 2016.
## Identity
- **NPI:** 1184081432 (Entity type: Organization)
- **Enumerated:** January 18, 2016
- **Primary specialty:** Surgery · taxonomy 208600000X
- **Organization subpart:** No
- **Authorized official:** Samuel Ibrahim, OWNER
## Practice location
- **Address:** 79180 CORPORATE CENTER DR, SUITE 101, La Quinta, CA 92253-7235
- **Phone:** (760) 837-7910 · **Fax:** (760) 837-7920
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (General Surgery) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 18, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1184081432) · Data from the CMS NPPES public registry.