1. Home
  2. Directory
  3. Florida
  4. Palm Coast
  5. General Practice
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. KHALED IBRAHIM M.D.
NPI 1497108393
General Practice in Palm Coast, FL

Active since July 15, 2016PECOS EnrolledAccepts Medicare Assignment
264A PALM COAST PKWY NE, PALM COAST, FL 32137(386) 446-5505 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 7, 2026, May 10, 2023, Jul 15, 2016 (3 updates tracked since 2016).

About Dr. Khaled Ibrahim M.d. NPPES

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

DR. KHALED IBRAHIM M.D. (NPI 1497108393) is an individual general practice provider in Palm Coast, Florida, licensed in Florida (ACN1088) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS, is affiliated with Florida Hospital Flagler, and maintains a secondary practice location in Port Orange.

NPPES Registry Identity

NPI1497108393
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. KHALED IBRAHIMCredential: M.D.
Location Address264A PALM COAST PKWY NEPalm Coast, FL 32137-8217
Mailing Address100 Arricola AveSt Augustine, FL 32080-4515 · (904) 825-4368
Phone(386) 446-5505
Sole ProprietorYes
Medical School CMSOtherGraduated 1993
Enumeration DateJuly 15, 2016
Last NPPES UpdateJuly 7, 20263 updates tracked since enumeration
NPPES CertifiedJuly 7, 2026
✔ NPI 1497108393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Licenses✔ Licensed in FL · ACN1088✔ Licensed in PR · 19420
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
264A PALM COAST PKWY NE, Palm Coast, FL 32137
Open in Google Maps ↗

Secondary Practice Location 1

Location 13691 Clyde Morris BlvdPort Orange, FL 32129-2317 · Phone (386) 368-8876

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida.Insurance ›

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

Dr. Khaled Ibrahim M.d. 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 ID7113349663
PECOS Enrollment IDI20200630000065
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 2

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.
51 services25 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.
20 services15 patients

Hospital Affiliations CMS Care Compare

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

Florida Hospital Flagler

Acute Care Hospitals · Palm Coast, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100118
Location60 Memorial Medical PkwyPalm Coast, FL 32164 · Flagler County
Emergency services

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. CANICE CHUKWUOCHA MD
General Practice
264A PALM COAST PKWY NE
PALM COAST, FL 32137
Flagler County (386) 446-5505
BRANDY LEMON FNP-C
Nurse Practitioner (Family)
264A PALM COAST PKWY NE
PALM COAST, FL 32137
Flagler County (386) 446-5505
DR. GLENN D. MEYERS M.D.
Internal Medicine
264A PALM COAST PKWY NE
PALM COAST, FL 32137
Flagler County (386) 446-5505

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 Khaled Ibrahim's NPI number?

The NPI number for Khaled Ibrahim is 1497108393. It was assigned to this individual provider in the NPPES registry on July 15, 2016.

Where is Khaled Ibrahim located?

Khaled Ibrahim practices at 264A Palm Coast Pkwy NE, Palm Coast, FL 32137. The listed phone number is (386) 446-5505.

What is Khaled Ibrahim's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Khaled Ibrahim enrolled in Medicare?

Yes. Khaled Ibrahim 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.

What insurance does Khaled Ibrahim accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida list Khaled Ibrahim 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 Khaled Ibrahim affiliated with any hospitals?

According to CMS data, Khaled Ibrahim is affiliated with Florida Hospital Flagler.

When was this NPI record last updated?

The NPPES record for Khaled Ibrahim was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 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.