1. Home
  2. Directory
  3. New York
  4. Brooklyn
  5. Internal Medicine
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ISHMAM IBTIDA MD
NPI 1396309084
Internal Medicine - Cardiovascular Disease in Brooklyn, NY

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

NPPES record last updated: August 24, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 24, 2026, Apr 28, 2019 (2 updates tracked since 2019).

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

NPI1396309084
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
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
Last NPPES UpdateAugust 24, 20262 updates tracked since enumeration
NPPES CertifiedAugust 24, 2026
✔ NPI 1396309084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in NY · 317047
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
450 CLARKSON AVE DEPT OF, Brooklyn, NY 11203
Open in Google Maps ↗

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

Physician 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.

New Patient
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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 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 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.

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 21 days 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.