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DR. SAMUEL ASSAD AMIN IBRAHIM M.D.
NPI 1326212358
Surgery in La Quinta, CA

Active since April 22, 2008PECOS EnrolledAccepts Medicare Assignment
79180 CORPORATE CENTER DR, STE 101, LA QUINTA, CA 92253(760) 837-7910(760) 837-7920 Get Directions Write a Review

NPPES record last updated: April 18, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Samuel Assad Amin Ibrahim M.d. NPPES

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

DR. SAMUEL ASSAD AMIN IBRAHIM M.D. (NPI 1326212358) is an individual surgery provider in La Quinta, California, licensed in Ohio (35.121784) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1326212358
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. SAMUEL ASSAD AMIN IBRAHIMCredential: M.D.
Location Address79180 CORPORATE CENTER DR, STE 101La Quinta, CA 92253-7235
Mailing Address79180 Corporate Center Dr, Ste 101La Quinta, CA 92253-7235 · (760) 837-7910 · Fax (760) 837-7920
Phone(760) 837-7910
Fax(760) 837-7920
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateApril 22, 2008
Last NPPES UpdateApril 18, 2016
✔ NPI 1326212358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in OH · 35.121784
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

79180 CORPORATE CENTER DR, La Quinta, CA 92253
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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 and accepts Medicare assignment

Dr. Samuel Assad Amin 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 ID7416191143
PECOS Enrollment IDI20160531001304
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 4

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
55 services54 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
48 services48 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
24 services22 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
14 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92253 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
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 2

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

SAMUEL IBRAHIM, MD, INC
Surgery
79180 CORPORATE CENTER DR, SUITE 101
LA QUINTA, CA 92253
Riverside County (760) 837-7910
DESERT PEDIATRICS INC
Pediatrics
79180 CORPORATE CENTER DR, SUITE 103
LA QUINTA, CA 92253
Riverside County (760) 777-7300

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 Samuel Ibrahim's NPI number?

The NPI number for Samuel Ibrahim is 1326212358. It was assigned to this individual provider in the NPPES registry on April 22, 2008.

Where is Samuel Ibrahim located?

Samuel Ibrahim practices at 79180 Corporate Center Dr Ste 101, La Quinta, CA 92253. The listed phone number is (760) 837-7910.

What is Samuel Ibrahim's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Samuel Ibrahim enrolled in Medicare?

Yes. Samuel 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.

When was this NPI record last updated?

The NPPES record for Samuel Ibrahim was last updated on April 18, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.