DR. HIBA IBRAHIM M.D.
NPI 1316332398
Pathology - Anatomic Pathology & Clinical Pathology in Phoenix, AZ

Active since April 06, 2015PECOS EnrolledAccepts Medicare Assignment
88.55/100
CMS Quality Rating
424 S 56TH ST STE 120, PHOENIX, AZ 85034(602) 685-5211(602) 685-5325 Get Directions Write a Review

NPPES record last updated: November 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 5, 2021, Feb 17, 2021 (2 updates tracked since 2021).

About Dr. Hiba Ibrahim M.d. NPPES

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

DR. HIBA IBRAHIM M.D. (NPI 1316332398) is an individual anatomic pathology & clinical pathology provider in Phoenix, Arizona, licensed in Arizona (63206) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1316332398
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. HIBA IBRAHIMCredential: M.D.
Location Address424 S 56TH ST STE 120Phoenix, AZ 85034-2177
Mailing AddressPo Box 42210Phoenix, AZ 85080-2210 · (602) 685-5166 · Fax (602) 685-5325
Fax(602) 685-5325
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateApril 6, 2015
Last NPPES UpdateNovember 5, 20212 updates tracked since enumeration
NPPES CertifiedNovember 5, 2021
NPI 1316332398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License Licensed in AZ · 63206
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Also ListedPathology · CytopathologyTaxonomy 207ZC0500X · License 63206 (AZ)
424 S 56TH ST STE 120, Phoenix, AZ 85034

Secondary Practice Locations 2

Location 1424 S 56th St Ste 110Phoenix, AZ 85034-2177 · Phone (602) 685-5211 · Fax (602) 685-5325
Location 21900 N Higley RdGilbert, AZ 85234-1604 · Phone (602) 685-5211 · Fax (602) 685-5325

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 and accepts Medicare assignment

Dr. Hiba Ibrahim M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779818307
PECOS Enrollment IDI20220111001457
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.

Areas of Expertise CMS Part B claims 18

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
588 services320 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
451 services110 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
203 services157 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
195 services87 patients
Microscopic genetic analysis of tumor, using computer-assisted technology 88361
Microscopic genetic analysis of a tumor uses advanced computer technology to examine the genetic makeup of the tumor cells. This helps to understand the tumor better and tailor a treatment plan. It's a non-invasive procedure and provides valuable insights for your healthcare team.
193 services57 patients
Cell examination of specimen, selective cellular enhancement technique 88112
Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.
159 services133 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85034 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.53
Improvement Activities40

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.

Pathology (Anatomic Pathology & Clinical Pathology)
424 S 56TH ST STE 120
PHOENIX, AZ 85034
Pathology (Anatomic Pathology & Clinical Pathology)
424 S 56TH ST STE 120
PHOENIX, AZ 85034
Pathology (Anatomic Pathology & Clinical Pathology)
424 S 56TH ST STE 120
PHOENIX, AZ 85034
Pathology (Anatomic Pathology & Clinical Pathology)
424 S 56TH ST STE 120
PHOENIX, AZ 85034
Pathology (Anatomic Pathology & Clinical Pathology)
424 S 56TH ST STE 120
PHOENIX, AZ 85034
Pathology (Anatomic Pathology & Clinical Pathology)
424 S 56TH ST STE 120
PHOENIX, AZ 85034
Pathology (Anatomic Pathology & Clinical Pathology)
424 S 56TH ST STE 120
PHOENIX, AZ 85034
Pathology (Anatomic Pathology & Clinical Pathology)
424 S 56TH ST STE 120
PHOENIX, AZ 85034

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 Hiba Ibrahim's NPI number?

The NPI number for Hiba Ibrahim is 1316332398. It was assigned to this individual provider in the NPPES registry on April 6, 2015.

Where is Hiba Ibrahim located?

Hiba Ibrahim practices at 424 S 56th St Ste 120, Phoenix, AZ 85034. The listed phone number is (602) 685-5211.

What is Hiba Ibrahim's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Hiba Ibrahim enrolled in Medicare?

Yes. Hiba Ibrahim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Hiba Ibrahim accept?

Health plans from Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc., Oscar Health Plan, Inc. and Oscar Insurance Company list Hiba 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 Hiba Ibrahim was last updated on November 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.