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ISHMAM IBTIDA MD
NPI 1396309084
Student in an Organized Health Care Education/Training Program in Brooklyn, NY

Active since April 28, 2019PECOS EnrolledAccepts Medicare Assignment
450 CLARKSON AVE DEPT OF, BROOKLYN, NY 11203(718) 270-2030 Get Directions Write a Review

NPPES record last updated: April 28, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ishmam Ibtida Md NPPES

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

ISHMAM IBTIDA MD (NPI 1396309084) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with St Francis Hospital - The Heart Center, and is a graduate of State University Of New York Downstate Medical Center (2019).

NPPES Registry Identity

NPI1396309084
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameISHMAM IBTIDACredential: MD
Location Address450 CLARKSON AVE DEPT OFBrooklyn, NY 11203-2012
Mailing Address450 Clarkson Ave Dept OfBrooklyn, NY 11203-2012 · (718) 270-2030
Phone(718) 270-2030
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 2019
Enumeration DateApril 28, 2019
✔ NPI 1396309084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
450 CLARKSON AVE DEPT OF, Brooklyn, NY 11203
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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

Ishmam Ibtida 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 ID3072988344
PECOS Enrollment IDI20230419001438
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.

Hospital Affiliations CMS Care Compare

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

St Francis Hospital - The Heart Center

Acute Care Hospitals · Roslyn, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330182
Location100 Port Washington BoulevardRoslyn, NY 11576 · Nassau County
Emergency services

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.

KARL HAKAN PAUL MD
Student in an Organized Health Care Education/Training Program
450 CLARKSON AVE DEPT OF
BROOKLYN, NY 11203
Kings County (718) 245-3318
YAN HU
Anesthesiology
450 CLARKSON AVE DEPT OF, ANESTHESIOLOGY
BROOKLYN, NY 11203
Kings County (718) 270-1926
PHILIP BRANIGAN
Student in an Organized Health Care Education/Training Program
450 CLARKSON AVE DEPT OF
BROOKLYN, NY 11203
Kings County (718) 270-2353
DR. JUSTIN MICHAEL HEHOLT MBBS
Student in an Organized Health Care Education/Training Program
450 CLARKSON AVE DEPT OF
BROOKLYN, NY 11203
Kings County (718) 245-2682
DR. JIE OUYANG MD
Student in an Organized Health Care Education/Training Program
450 CLARKSON AVE DEPT OF
BROOKLYN, NY 11203
Kings County (718) 270-1584
DR. MANAN D MEHTA MD
Student in an Organized Health Care Education/Training Program
450 CLARKSON AVE DEPT OF
BROOKLYN, NY 11203
Kings County (718) 270-1000
NOORHAAN ABOUOMAR
Student in an Organized Health Care Education/Training Program
450 CLARKSON AVE DEPT OF
BROOKLYN, NY 11203
Kings County (718) 245-3131
DR. MICHAEL ANDREW HOMSY MD, CM
Student in an Organized Health Care Education/Training Program
450 CLARKSON AVE DEPT OF
BROOKLYN, NY 11203
Kings County (718) 270-1421

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 Ishmam Ibtida's NPI number?

The NPI number for Ishmam Ibtida is 1396309084. It was assigned to this individual provider in the NPPES registry on April 28, 2019.

Where is Ishmam Ibtida located?

Ishmam Ibtida practices at 450 Clarkson Ave Dept Of, Brooklyn, NY 11203. The listed phone number is (718) 270-2030.

What is Ishmam Ibtida's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ishmam Ibtida enrolled in Medicare?

Yes. Ishmam Ibtida 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.

Is Ishmam Ibtida affiliated with any hospitals?

According to CMS data, Ishmam Ibtida is affiliated with St Francis Hospital - The Heart Center.

When was this NPI record last updated?

The NPPES record for Ishmam Ibtida was last updated on April 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.