MUDASSER IBRAHIM MD
NPI 1306251228
Pediatrics in Pensacola, FL

Active since June 30, 2014PECOS Enrolled
1657 TRINITY DR, PENSACOLA, FL 32504(850) 416-7710 Get Directions Write a Review

NPPES record last updated: June 30, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mudasser Ibrahim Md NPPES

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

MUDASSER IBRAHIM MD (NPI 1306251228) is an individual pediatrics provider in Pensacola, Florida, licensed in Florida (TRN20435) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS and is a graduate of University Of Florida College Of Medicine (2013).

NPPES Registry Identity

NPI1306251228
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameMUDASSER IBRAHIMCredential: MD
Location Address1657 TRINITY DRPensacola, FL 32504-5708
Mailing Address5153 N 9th Ave, 6th Floor NemoursPensacola, FL 32504-8785 · (850) 416-7658
Sole ProprietorYes
Medical School CMSUniversity Of Florida College Of MedicineGraduated 2013
Enumeration DateJune 30, 2014
NPI 1306251228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in FL · TRN20435
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.
1657 TRINITY DR, Pensacola, FL 32504

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mudasser Ibrahim Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8426315086
PECOS Enrollment IDI20260226003368
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 32504 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Obstetrics & Gynecology
1657 TRINITY DR
PENSACOLA, FL 32504
Nurse Practitioner (Family)
1657 TRINITY DR
PENSACOLA, FL 32504
Obstetrics & Gynecology
1657 TRINITY DR
PENSACOLA, FL 32504
Obstetrics & Gynecology
1657 TRINITY DR
PENSACOLA, FL 32504
Obstetrics & Gynecology
1657 TRINITY DR
PENSACOLA, FL 32504
Obstetrics & Gynecology
1657 TRINITY DR
PENSACOLA, FL 32504
Obstetrics & Gynecology
1657 TRINITY DR
PENSACOLA, FL 32504
Obstetrics & Gynecology
1657 TRINITY DR
PENSACOLA, FL 32504

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 Mudasser Ibrahim's NPI number?

The NPI number for Mudasser Ibrahim is 1306251228. It was assigned to this individual provider in the NPPES registry on June 30, 2014.

Where is Mudasser Ibrahim located?

Mudasser Ibrahim practices at 1657 Trinity Dr, Pensacola, FL 32504. The listed phone number is (850) 416-7710.

What is Mudasser Ibrahim's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Mudasser Ibrahim enrolled in Medicare?

Yes. Mudasser Ibrahim is registered in the Medicare PECOS enrollment system.

What insurance does Mudasser Ibrahim accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice, Medica and Molina Healthcare list Mudasser Ibrahim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mudasser Ibrahim was last updated on June 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.