DR. KHALED IBRAHIM M.D.
NPI 1497108393
General Practice in Palm Coast, FL
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
Specialties & Licenses
Secondary Practice Location 1
Accepted 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
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.
Medicare Billing Reassignments
3Medicare enrollment records show Khaled Ibrahim reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
St Augustine, FL 32080
- Reassigned Medicare billing, Florida enrollment
- 82 clinicians in this Medicare group
Mount Dora, FL 32757
- Reassigned Medicare billing, Florida enrollment
- 7 clinicians in this Medicare group
Miami, FL 33126
- Reassigned Medicare billing, Florida enrollment
- 535 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 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.
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, FLOther Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organizations bill Medicare for Khaled Ibrahim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Khaled Ibrahim reassigns Medicare benefits to 3 organizations: Roy H Hinman MD PA (St Augustine, FL), Alina Community Center At Mount Dora LLC (Mount Dora, FL) and Conviva Medical Center Management LLC (Miami, 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 Khaled Ibrahim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Khaled Ibrahim accept?
Health plans from Oscar Health Maintenance Organization of Florida and Wellpoint 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 3 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.
# Dr. Khaled Ibrahim, M.D. · NPI 1497108393
General Practice physician in Palm Coast, Florida. Individual provider, active in the CMS NPPES registry since July 15, 2016.
## Identity
- **NPI:** 1497108393 (Entity type: Individual)
- **Enumerated:** July 15, 2016
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** ACN1088 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 264A PALM COAST PKWY NE, Palm Coast, FL 32137-8217
- **Phone:** (386) 446-5505
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Roy H Hinman MD PA (NPI 1649383845, St Augustine, FL); Alina Community Center At Mount Dora LLC (NPI 1811550346, Mount Dora, FL); Conviva Medical Center Management LLC (NPI 1649324278, Miami, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1993
## Record status
- **NPPES last updated:** July 7, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1497108393) · Data from the CMS NPPES public registry.