DR. HAZIM IBRAHIM DPM
NPI 1417337353
Podiatrist in Fort Wayne, IN

Active since June 05, 2015PECOS Enrolled
75/100
CMS Quality Rating
7527 THOROUGHBRED DR APT 3D, FORT WAYNE, IN 46804(440) 840-3692 Get Directions Write a Review

NPPES record last updated: July 19, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Hazim Ibrahim Dpm NPPES

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

DR. HAZIM IBRAHIM DPM (NPI 1417337353) is an individual podiatrist in Fort Wayne, Indiana, licensed in Indiana (07001283A) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417337353
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameDR. HAZIM IBRAHIMCredential: DPM
Location Address7527 THOROUGHBRED DR APT 3DFort Wayne, IN 46804
Mailing Address7527 Thoroughbred Dr Apt 3dFort Wayne, IN 46804-2362 · (408) 403-6924
Sole ProprietorYes
Enumeration DateJune 5, 2015
Last NPPES UpdateJuly 19, 2018
NPI 1417337353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in IN · 07001283A
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
7527 THOROUGHBRED DR APT 3D, Fort Wayne, IN 46804

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Hazim Ibrahim Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46804 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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 Hazim Ibrahim's NPI number?

The NPI number for Hazim Ibrahim is 1417337353. It was assigned to this individual provider in the NPPES registry on June 5, 2015.

Where is Hazim Ibrahim located?

Hazim Ibrahim practices at 7527 Thoroughbred Dr Apt 3D, Fort Wayne, IN 46804. The listed phone number is (440) 840-3692.

What is Hazim Ibrahim's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Hazim Ibrahim enrolled in Medicare?

Yes. Hazim Ibrahim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Hazim Ibrahim was last updated on July 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.