ISHMAM IBTIDA MD
NPI 1396309084
Internal Medicine - Cardiovascular Disease in Brooklyn, NY
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 cardiovascular disease provider in Brooklyn, New York, licensed in New York (317047) 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
Specialties & Licenses
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
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.
Medicare Billing Reassignments
3Medicare enrollment records show Ishmam Ibtida reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10065
- Reassigned Medicare billing, New York enrollment
- 315 clinicians in this Medicare group
Lindenhurst, NY 11757
- Reassigned Medicare billing, New York enrollment
- 348 clinicians in this Medicare group
New York, NY 10021
- Reassigned Medicare billing, New York enrollment
- 514 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11203 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BROOKLYN, NY 11203
BROOKLYN, NY 11203
BROOKLYN, NY 11203
BROOKLYN, NY 11203
BROOKLYN, NY 11203
BROOKLYN, NY 11203
BROOKLYN, NY 11203
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 Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
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.
Which organizations bill Medicare for Ishmam Ibtida's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ishmam Ibtida reassigns Medicare benefits to 3 organizations: Memorial Medical Consultation Group (New York, NY), Southwest Suffolk Medical PC (Lindenhurst, NY) and Memorial Solid Tumor Group (New York, NY). 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 Ishmam Ibtida's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Ishmam Ibtida, MD · NPI 1396309084
Cardiovascular Disease physician in Brooklyn, New York. Individual provider, active in the CMS NPPES registry since April 28, 2019.
## Identity
- **NPI:** 1396309084 (Entity type: Individual)
- **Enumerated:** April 28, 2019
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **State license:** 317047 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 450 CLARKSON AVE DEPT OF, Brooklyn, NY 11203-2012
- **Phone:** (718) 270-2030
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Memorial Medical Consultation Group (NPI 1053382523, New York, NY); Southwest Suffolk Medical PC (NPI 1770919763, Lindenhurst, NY); Memorial Solid Tumor Group (NPI 1699746172, New York, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York Downstate Medical Center, class of 2019
## Record status
- **NPPES last updated:** August 24, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1396309084) · Data from the CMS NPPES public registry.