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FATIMA MOHAMED JIBREL MD
NPI 1386171973
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in Providence, RI

Active since May 15, 2017PECOS EnrolledAccepts Medicare Assignment
101 PLAIN STREET, 5TH FLOOR, PROVIDENCE, RI 02903(401) 453-7560(401) 453-7573 Get Directions Write a Review

NPPES record last updated: August 22, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 22, 2024, Apr 25, 2024, Dec 13, 2023 and 3 more (6 updates tracked since 2017).

About Fatima Mohamed Jibrel Md NPPES

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

FATIMA MOHAMED JIBREL MD (NPI 1386171973) is an individual urogynecology and reconstructive pelvic surgery provider in Providence, Rhode Island, licensed in Rhode Island (MD17541) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, is affiliated with Rhode Island Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1386171973
Entity TypeIndividualFemale
Primary Taxonomy207VF0040X
Provider Legal NameFATIMA MOHAMED JIBRELCredential: MD
Location Address101 PLAIN STREET, 5TH FLOORProvidence, RI 02903-4829
Mailing Address455 Toll Gate Rd, Prc And CredWarwick, RI 02886-2759 · (401) 273-0641 · Fax (401) 273-2919
Phone(401) 453-7560
Fax(401) 453-7573
Sole ProprietorYes
Medical School CMSOakland Univ, William Beaumont School Of MedicineGraduated 2017
Enumeration DateMay 15, 2017
Last NPPES UpdateAugust 22, 20246 updates tracked since enumeration
NPPES CertifiedAugust 22, 2024
✔ NPI 1386171973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207VF0040X
License✔ Licensed in RI · MD17541
Definition
A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License MD17541 (RI)
101 PLAIN STREET, Providence, RI 02903
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1101 Dudley StProvidence, RI 02905-2401 · Phone (401) 274-1122 · Fax (401) 459-0100
Location 21050 Main StreetEast Greenwhich, RI 02818 · Phone (401) 453-7560 · Fax (401) 453-7573
Location 3640 George Washington Highway, Building A Suite 102Lincoln, RI 02865 · Phone (401) 453-7560 · Fax (401) 453-7573

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Fatima Mohamed Jibrel Md 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 ID2365711629
PECOS Enrollment IDI20211210001786, I20260616003545
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 Reassignments

2

Medicare enrollment records show Fatima Jibrel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Affinity Physicians LLC
0.2 mi
Anesthesiology
101 DUDLEY STREET, WIH DEPT OF ANESTHESIOLOGY
Providence, RI 02905
  • Reassigned Medicare billing, Rhode Island enrollment
  • 984 clinicians in this Medicare group
NPI 1053038471 (401) 274-1122
County Of Santa Clara
2,666 mi
Federally Qualified Health Center (FQHC)
7475 CAMINO ARROYO
Gilroy, CA 95020
  • Reassigned Medicare billing, California enrollment
  • 2,460 clinicians in this Medicare group
NPI 1922093533 (408) 885-5000

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

Areas of Expertise CMS Part B claims

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.

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.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Rhode Island Hospital

Acute Care Hospitals · Providence, RI
3/5 CMS rating
OwnershipTribal
CMS Certification Number410007
Location593 Eddy StreetProvidence, RI 02903 · Providence County
Emergency services

Women & Infants Hospital Of Rhode Island

Acute Care Hospitals · Providence, RI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410010
Location101 Dudley StreetProvidence, RI 02905 · Providence County
Emergency services Birthing friendly

The Miriam Hospital

Acute Care Hospitals · Providence, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410012
Location164 Summit AvenueProvidence, RI 02906 · Providence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02903 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
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
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 3

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

ZEINAB KASSEM MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
101 PLAIN STREET, 6TH FLOOR
PROVIDENCE, RI 02903
Providence County (401) 274-1122
NOZOMI SAKAI MD
Obstetrics & Gynecology
101 PLAIN STREET, 5TH FLOOR
PROVIDENCE, RI 02903
Providence County (401) 453-7560
BAY TOWER NURSING CENTER
Nursing Facility/Intermediate Care Facility
101 PLAIN STREET
PROVIDENCE, RI 02903
Providence County (401) 351-4444

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 Fatima Jibrel's NPI number?

The NPI number for Fatima Jibrel is 1386171973. It was assigned to this individual provider in the NPPES registry on May 15, 2017.

Where is Fatima Jibrel located?

Fatima Jibrel practices at 101 Plain Street 5th Floor, Providence, RI 02903. The listed phone number is (401) 453-7560.

What is Fatima Jibrel's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Is Fatima Jibrel enrolled in Medicare?

Yes. Fatima Jibrel 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.

Which organizations bill Medicare for Fatima Jibrel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fatima Jibrel reassigns Medicare benefits to 2 organizations: Affinity Physicians LLC (Providence, RI) and County Of Santa Clara (Gilroy, CA). Each 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 Fatima Jibrel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Fatima Jibrel affiliated with any hospitals?

According to CMS data, Fatima Jibrel is affiliated with Rhode Island Hospital, Women & Infants Hospital Of Rhode Island and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Fatima Jibrel was last updated on August 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.