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CHADI IBRAHIM M.D.
NPI 1316322043
General Practice in Salt Lake City, UT

Active since July 23, 2015PECOS Enrolled
275 E 200 S, SALT LAKE CITY, UT 84111(202) 779-5214 Get Directions Write a Review

NPPES record last updated: July 9, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Chadi Ibrahim M.d. NPPES

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

CHADI IBRAHIM M.D. (NPI 1316322043) is an individual general practice provider in Salt Lake City, Utah, licensed in Wisconsin (63989) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316322043
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameCHADI IBRAHIMCredential: M.D.
Location Address275 E 200 SSalt Lake City, UT 84111
Mailing Address275 E 200 SSalt Lake City, UT 84111-2002
Phone(202) 779-5214
Sole ProprietorNo
Enumeration DateJuly 23, 2015
Last NPPES UpdateJuly 9, 2018
✔ NPI 1316322043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in WI · 63989
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
275 E 200 S, Salt Lake City, UT 84111
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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)

Chadi Ibrahim M.d. 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.

Medicare Billing Reassignment

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

Kayenta Alternative Rural Hospital
286 mi
General Acute Care Hospital
HWY 98 & NAVAJO ROUTE 16
Tonalea, AZ 86044
  • Reassigned Medicare billing, Texas enrollment
  • 215 clinicians in this Medicare group
NPI 1740359108 (928) 672-3000

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

Other Providers at the Same Location NPPES 11

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

GAIL A. MAGID M.D.
Neurological Surgery
275 E 200 S
SALT LAKE CITY, UT 84111
Salt Lake County (800) 366-1884
SUSAN MATHEWS M D
Family Medicine (Adolescent Medicine)
275 E 200 S
SALT LAKE CITY, UT 84111
Salt Lake County (801) 428-2270
ROBERT L. SCHNEIDER MD
Physical Medicine & Rehabilitation
275 E 200 S
SALT LAKE CITY, UT 84111
Salt Lake County (800) 366-1884
ROBERT KHANLIAN MD
Emergency Medicine
275 E 200 S
SALT LAKE CITY, UT 84111
Salt Lake County (505) 379-2623
STEPHEN G PROTAS D.O.
Family Medicine
275 E 200 S
SALT LAKE CITY, UT 84111
Salt Lake County (800) 366-1884
DULAYA KANJANA SANTIKUL D.O.
Family Medicine
275 E 200 S
SALT LAKE CITY, UT 84111
Salt Lake County (800) 366-1884
CESAR N NOCHE M.D
Family Medicine (Adolescent Medicine)
275 E 200 S
SALT LAKE CITY, UT 84111
Salt Lake County (800) 366-1884
DR. MARK ALLEN RHOLL MD
Family Medicine
275 E 200 S, VISTA STAFFING SOLUTIONS
SALT LAKE CITY, UT 84111
Salt Lake County (800) 366-1884

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 Chadi Ibrahim's NPI number?

The NPI number for Chadi Ibrahim is 1316322043. It was assigned to this individual provider in the NPPES registry on July 23, 2015.

Where is Chadi Ibrahim located?

Chadi Ibrahim practices at 275 E 200 S, Salt Lake City, UT 84111. The listed phone number is (202) 779-5214.

What is Chadi Ibrahim's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Chadi Ibrahim enrolled in Medicare?

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

Which organization bills Medicare for Chadi Ibrahim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chadi Ibrahim reassigns Medicare benefits to Kayenta Alternative Rural Hospital (Tonalea, AZ). 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 Chadi Ibrahim'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 Chadi Ibrahim was last updated on July 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.