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IBRAHIM ABD EL-SHAFY MD
NPI 1407146392
Surgery - Surgical Critical Care in Mineola, NY

Active since April 12, 2011PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
173 MINEOLA BLVD STE 401, MINEOLA, NY 11501(516) 663-1145 Get Directions Write a Review

NPPES record last updated: April 14, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 14, 2022, Jan 10, 2022 (2 updates tracked since 2022).

About Ibrahim Abd El-shafy Md NPPES

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

IBRAHIM ABD EL-SHAFY MD (NPI 1407146392) is an individual surgical critical care provider in Mineola, New York, licensed in New York (313310) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1407146392
Entity TypeIndividualMale
Primary Taxonomy2086S0102X
Provider Legal NameIBRAHIM ABD EL-SHAFYCredential: MD
Location Address173 MINEOLA BLVD STE 401Mineola, NY 11501-2555
Mailing Address173 Mineola Blvd Ste 401Mineola, NY 11501-2555 · (516) 663-1145
Phone(516) 663-1145
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateApril 12, 2011
Last NPPES UpdateApril 14, 20222 updates tracked since enumeration
NPPES CertifiedApril 14, 2022
✔ NPI 1407146392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians
Taxonomy Code2086S0102X
License✔ Licensed in NY · 313310
Definition
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedSurgeryTaxonomy 208600000X · License 313310 (NY)
173 MINEOLA BLVD STE 401, Mineola, NY 11501
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

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

Ibrahim Abd El-shafy 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 ID4587908108
PECOS Enrollment IDI20211102001967, I20230919004428
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

4

Medicare enrollment records show Ibrahim Abd El-shafy reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hackensack Meridian Health Medical Group - Specialty Care PC
37 mi
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group
NPI 1215989249 (732) 807-0800
United Health Services Hospitals, Inc.
153 mi
Multi-Specialty
33-57 HARRISON ST.
Johnson City, NY 13790
  • Reassigned Medicare billing, New York enrollment
  • 854 clinicians in this Medicare group
NPI 1962463851 (607) 762-3027
United Medical Associates PC
153 mi
Clinic/Center
33 LEWIS ROAD, 2ND FLOOR
Binghamton, NY 13905
  • Reassigned Medicare billing, New York enrollment
  • 528 clinicians in this Medicare group
NPI 1013972801 (607) 770-0025
New York University
1,045 mi
Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 7,712 clinicians in this Medicare group
NPI 1285826438 (877) 648-2964

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 5

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
205 services104 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
109 services49 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
66 services64 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
24 services24 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
20 services20 patients

Hospital Affiliations CMS Care Compare 3

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

Hackensack University Medical Center

Acute Care Hospitals · Hackensack, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310001
Location30 Prospect AveHackensack, NJ 07601 · Bergen County
Emergency services Birthing friendly

Englewood Hospital And Medical Center

Acute Care Hospitals · Englewood, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310045
Location350 Engle StEnglewood, NJ 07631 · Bergen County
Emergency services Birthing friendly

United Health Services Hospitals, Inc

Acute Care Hospitals · Binghamton, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330394
Location10-42 Mitchell AvenueBinghamton, NY 13903 · Broome County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

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.

DR. DMITRIY RYBITSKIY DO
Surgery (Surgical Critical Care)
173 MINEOLA BLVD STE 401
MINEOLA, NY 11501
Nassau County (516) 663-1145
DR. RICARDO ARMANDO JACQUEZ M.D.
Surgery (Surgical Critical Care)
173 MINEOLA BLVD STE 401
MINEOLA, NY 11501
Nassau County (516) 663-1145
DR. LEE JENNIFER CARTAGENA-NEGRON M.D.
Internal Medicine (Critical Care Medicine)
173 MINEOLA BLVD STE 401
MINEOLA, NY 11501
Nassau County (516) 663-1145

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 Ibrahim Abd El-shafy's NPI number?

The NPI number for Ibrahim Abd El-shafy is 1407146392. It was assigned to this individual provider in the NPPES registry on April 12, 2011.

Where is Ibrahim Abd El-shafy located?

Ibrahim Abd El-shafy practices at 173 Mineola Blvd Ste 401, Mineola, NY 11501. The listed phone number is (516) 663-1145.

What is Ibrahim Abd El-shafy's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Is Ibrahim Abd El-shafy enrolled in Medicare?

Yes. Ibrahim Abd El-shafy 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 Ibrahim Abd El-shafy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ibrahim Abd El-shafy reassigns Medicare benefits to 4 organizations: Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ), United Health Services Hospitals, Inc. (Johnson City, NY), United Medical Associates PC (Binghamton, NY) and New York University (Boynton Beach, FL). 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 Ibrahim Abd El-shafy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ibrahim Abd El-shafy accept?

Health plans from Oscar Health list Ibrahim Abd El-shafy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ibrahim Abd El-shafy affiliated with any hospitals?

According to CMS data, Ibrahim Abd El-shafy is affiliated with Hackensack University Medical Center, Englewood Hospital And Medical Center and United Health Services Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Ibrahim Abd El-shafy was last updated on April 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.