NOUR IBRAHIM MD
NPI 1336029032
Internal Medicine - Geriatric Medicine in Saint Louis, MO

Q: What is Nour Ibrahim's NPI number?

The NPI number for Nour Ibrahim is 1336029032. It was assigned to this individual provider in the NPPES registry on September 3, 2025.

Q: What is Nour Ibrahim's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Q: When was this NPI record last updated?

The NPPES record for Nour Ibrahim was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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 03, 2025PECOS Enrolled

1201 S GRAND BLVD, SAINT LOUIS, MO 63104(314) 257-8000 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 30, 2026, Sep 3, 2025 (2 updates tracked since 2025).

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About Nour Ibrahim Md NPPES

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

NOUR IBRAHIM MD (NPI 1336029032) is an individual geriatric medicine provider in Saint Louis, Missouri, licensed in Missouri (2025015467) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336029032

Entity TypeIndividualFemale

Primary Taxonomy207RG0300X

Provider Legal NameNOUR IBRAHIMCredential: MD

Location Address1201 S GRAND BLVDSaint Louis, MO 63104-1016

Mailing Address1201 S Grand BlvdSaint Louis, MO 63104-1016

Phone(314) 257-8000

Sole ProprietorNo

Enumeration DateSeptember 3, 2025

Last NPPES UpdateMarch 30, 20262 updates tracked since enumeration

NPPES CertifiedMarch 30, 2026

✔ NPI 1336029032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RG0300X

License✔ Licensed in MO · 2025015467

Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

1201 S GRAND BLVD, Saint Louis, MO 63104

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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 (PECOS)

Nour Ibrahim 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63104 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

$169.38 typical visit price

range $55.65 – $169.38

Typical copayment $42.34 (range $13.91 – $42.34)

Most-billed visit code 99205

Established Patient

$98.37 typical visit price

range $17.76 – $137.92

Typical copayment $24.59 (range $4.44 – $34.48)

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.

DOUG LONGO APRN

Nurse Practitioner (Acute Care)