MARIAM MAJED IBDAIWI MD
NPI 1417452087
Family Medicine in San Antonio, TX

Active since March 27, 2018PECOS Enrolled
78.85/100
CMS Quality Rating
3860 E IH 10, SAN ANTONIO, TX 78220(210) 644-5000(210) 702-6926 Get Directions Write a Review

NPPES record last updated: September 8, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 8, 2026, Oct 24, 2023, Aug 24, 2022 and 1 more (4 updates tracked since 2018).

About Mariam Majed Ibdaiwi Md NPPES

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

MARIAM MAJED IBDAIWI MD (NPI 1417452087) is an individual family medicine provider in San Antonio, Texas, licensed in Texas (V6319) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1417452087
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMARIAM MAJED IBDAIWICredential: MD
Location Address3860 E IH 10San Antonio, TX 78220-4063
Mailing Address3860 E Ih 10San Antonio, TX 78220-4063 · (210) 644-5000 · Fax (210) 702-6926
Fax(210) 702-6926
Sole ProprietorNo
Enumeration DateMarch 27, 2018
Last NPPES UpdateSeptember 8, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2026
✔ NPI 1417452087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · V6319
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3860 E IH 10, San Antonio, TX 78220

Secondary Practice Locations 3

Location 13611 Jaguar PkwySan Antonio, TX 78224-3271 · Phone (726) 236-9520 · Fax (210) 704-4707
Location 24647 Medical DrSan Antonio, TX 78229-4403 · Phone (210) 358-8145 · Fax (210) 358-8536
Location 3903 W Martin StSan Antonio, TX 78207-0903 · Phone (210) 358-3441 · Fax (210) 702-6318

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mariam Majed Ibdaiwi Md 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.

Medicare Billing Reassignments

6

Medicare enrollment records show Mariam Ibdaiwi reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
1580 W JAMES ST
Columbus, WI 53925
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Beaver Dam Community Hospitals Inc.
  • 1,447 clinicians in this Medicare group
Clinic/Center
2310 CRAIG RD
Eau Claire, WI 54701
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1952890873 (Wisconsin)
  • 2,476 clinicians in this Medicare group
Clinic/Center
N3708 RIVER AVE
Neillsville, WI 54456
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1346239373 (Wisconsin)
  • 1,440 clinicians in this Medicare group
Clinic/Center
1000 N OAK AVE
Marshfield, WI 54449
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,540 clinicians in this Medicare group
Clinic/Center
806 2ND ST
Chetek, WI 54728
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,616 clinicians in this Medicare group
Clinic/Center
98 SHERRY AVE
Park Falls, WI 54552
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1700963048 (Wisconsin)
  • 1,351 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.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
65 services58 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.
59 services54 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
57 services54 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
43 services43 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78220 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
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.

78.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.68
Promoting Interoperability99
Improvement Activities40
Cost54.87

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Acute Care Hospital
3860 E IH 10
SAN ANTONIO, TX 78220

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 Mariam Ibdaiwi's NPI number?

The NPI number for Mariam Ibdaiwi is 1417452087. It was assigned to this individual provider in the NPPES registry on March 27, 2018.

Where is Mariam Ibdaiwi located?

Mariam Ibdaiwi practices at 3860 E Ih 10, San Antonio, TX 78220. The listed phone number is (210) 644-5000.

What is Mariam Ibdaiwi's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mariam Ibdaiwi enrolled in Medicare?

Yes. Mariam Ibdaiwi is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mariam Ibdaiwi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mariam Ibdaiwi reassigns Medicare benefits to 6 organizations: Beaver Dam Community Hosptials Inc (Columbus, WI), Mchs Hospitals Inc (Eau Claire, WI), Memorial Hospital Inc (Neillsville, WI), Marshfield Clinic Inc (Marshfield, WI), Lakeview Medical Center Inc Of Rice Lake (Chetek, WI) and 1 more organization, listed in the Medicare section above. 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 Mariam Ibdaiwi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mariam Ibdaiwi was last updated on September 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 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.