MOHAMMAD EBRAHEEM MD
NPI 1295069375
Pediatrics - Pediatric Critical Care Medicine in Palo Alto, CA

Q: What is Mohammad Ebraheem's NPI number?

The NPI number for Mohammad Ebraheem is 1295069375. It was assigned to this individual provider in the NPPES registry on September 23, 2009.

Q: What is Mohammad Ebraheem's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Mohammad Ebraheem was last updated on April 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since September 23, 2009PECOS Enrolled

725 WELCH RD, PALO ALTO, CA 94304(650) 497-8000 Get Directions Write a Review

NPPES record last updated: April 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 11, 2024, Dec 16, 2021, Jan 5, 2017 (3 updates tracked since 2017).

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About Mohammad Ebraheem Md NPPES

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

MOHAMMAD EBRAHEEM MD (NPI 1295069375) is an individual pediatric critical care medicine provider in Palo Alto, California, licensed in California (C174844) and active in the NPI registry since September 2009. He is enrolled in Medicare PECOS and maintains a secondary practice location in Gainesville.

NPPES Registry Identity

NPI1295069375

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NameMOHAMMAD EBRAHEEMCredential: MD

Location Address725 WELCH RDPalo Alto, CA 94304-1601

Mailing Address725 Welch RdPalo Alto, CA 94304-1601 · (650) 497-8000

Phone(650) 497-8000

Sole ProprietorNo

Enumeration DateSeptember 23, 2009

Last NPPES UpdateApril 11, 20243 updates tracked since enumeration

NPPES CertifiedApril 11, 2024

✔ NPI 1295069375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

Licenses✔ Licensed in CA · C174844✔ Licensed in FL · ME129660

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedPediatricsTaxonomy 208000000X · License P1988 (TX), C174844 (CA)

725 WELCH RD, Palo Alto, CA 94304

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Secondary Practice Location 1

Location 11600 SW Archer Rd, Box 100296Gainesville, FL 32610-0296 · Phone (352) 265-0462

Other Identifiers 1

Medicaid018695700FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mohammad Ebraheem 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.

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.

EIRI INENAGA MS, OTR/L

Occupational Therapist (Pediatrics)