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DR. NOOR EISA ADAM IBRAHIM MD
NPI 1265135230
Pediatrics in Philadelphia, PA

Active since March 27, 2023PECOS Enrolled
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104(215) 590-1722 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 23, 2025, Oct 11, 2023, Mar 27, 2023 (3 updates tracked since 2023).

About Dr. Noor Eisa Adam Ibrahim Md NPPES

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

DR. NOOR EISA ADAM IBRAHIM MD (NPI 1265135230) is an individual pediatrics provider in Philadelphia, Pennsylvania, licensed in Alabama (L.5914R) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265135230
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. NOOR EISA ADAM IBRAHIMCredential: MD
Location Address3401 CIVIC CENTER BLVDPhiladelphia, PA 19104-4319
Mailing Address2451 University Hospital Dr Rm 714Mobile, AL 36617-2300 · (251) 434-3915 · Fax (251) 415-1387
Phone(215) 590-1722
Sole ProprietorNo
Enumeration DateMarch 27, 2023
Last NPPES UpdateJune 23, 20253 updates tracked since enumeration
NPPES CertifiedJune 23, 2025
✔ NPI 1265135230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in AL · L.5914R
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.

Also ListedPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyTaxonomy 2084N0402X · License MT234308 (PA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3401 CIVIC CENTER BLVD, Philadelphia, PA 19104
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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)

Dr. Noor Eisa Adam Ibrahim Md 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 19104 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 20

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

ELIZABETH A JAMME MD
Pediatrics
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
MEENA THAYU M.D.
Pediatrics (Pediatric Gastroenterology)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
RICHARD M DONNER M.D.
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
MARIANNE M GLANZMAN M.D.
Pediatrics (Developmental - Behavioral Pediatrics)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
ABIGAIL F FARBER M.D.
Pediatrics
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
BEVERLY J LANGE M.D.
Pediatrics (Pediatric Hematology-Oncology)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
PAUL J HONIG M.D.
Dermatology
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
ROSANNA POLLACK CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD, 4TH FLOOR WOOD BUILDING
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-4953

Frequently Asked Questions

What is Noor Ibrahim's NPI number?

The NPI number assigned to this healthcare provider is 1265135230, enumerated as an "individual" on March 27, 2023.

Where is the provider located?

The provider is located at 3401 CIVIC CENTER BLVD PHILADELPHIA, PA 19104 and the phone number is (215) 590-1722.

What is the provider's specialty?

Pediatrics with taxonomy code 208000000X.