DR. ALEX IBRAHIM FAHOURY MD
NPI 1467406934
Internal Medicine in Brockport, NY

Active since May 20, 2006PECOS Enrolled
122 WEST AVE STE 6B, BROCKPORT, NY 14420(585) 391-3040(585) 625-0070 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 17, 2024, Sep 13, 2024, Apr 11, 2018 (3 updates tracked since 2018).

About Dr. Alex Ibrahim Fahoury Md NPPES

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

DR. ALEX IBRAHIM FAHOURY MD (NPI 1467406934) is an individual internal medicine provider in Brockport, New York, licensed in New York (237262) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1467406934
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ALEX IBRAHIM FAHOURYCredential: MD
Location Address122 WEST AVE STE 6BBrockport, NY 14420-1225
Mailing Address122 West Ave Ste 6bBrockport, NY 14420-1225 · (585) 391-3040 · Fax (585) 625-0070
Fax(585) 625-0070
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateMay 20, 2006
Last NPPES UpdateSeptember 17, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2024
NPI 1467406934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NY · 237262
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
122 WEST AVE STE 6B, Brockport, NY 14420

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. Alex Ibrahim Fahoury Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5799748737
PECOS Enrollment IDI20051026000636
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.

Areas of Expertise CMS Part B claims 14

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.
646 services113 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
64 services64 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
63 services63 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.
35 services27 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
32 services20 patients
Testing of autonomic (sympathetic) nervous system function 95923
Testing of autonomic nervous system function assesses how well your body's automatic processes, like heart rate and blood pressure, are working. It involves various non-invasive tests like heart rate variability and sweat production tests.
29 services24 patients

Hospital Affiliations CMS Care Compare 3

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

Rochester General Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330125
Location1425 Portland AvenueRochester, NY 14621 · Monroe County
Emergency services Birthing friendly

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330285
Location601 Elmwood AveRochester, NY 14642 · Monroe County
Emergency services Birthing friendly

Medina Memorial Hospital

Critical Access Hospitals · Medina, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331319
Location200 Ohio StreetMedina, NY 14103 · Orleans County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14420 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier21 claims21 services$3.19 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Acute Care)
122 WEST AVE STE 6B
BROCKPORT, NY 14420

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 Alex Fahoury's NPI number?

The NPI number for Alex Fahoury is 1467406934. It was assigned to this individual provider in the NPPES registry on May 20, 2006.

Where is Alex Fahoury located?

Alex Fahoury practices at 122 West Ave Ste 6B, Brockport, NY 14420. The listed phone number is (585) 391-3040.

What is Alex Fahoury's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Alex Fahoury enrolled in Medicare?

Yes. Alex Fahoury is registered in the Medicare PECOS enrollment system.

Is Alex Fahoury affiliated with any hospitals?

According to CMS data, Alex Fahoury is affiliated with Rochester General Hospital, Strong Memorial Hospital and Medina Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Alex Fahoury was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.