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OMAR A IBRAHIMI MD, PHD
NPI 1508061128
Dermatology - MOHS-Micrographic Surgery in Stamford, CT

Active since June 15, 2007PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
2777 SUMMER ST STE 600, STAMFORD, CT 06905(203) 428-4440(901) 221-4916 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 13, 2025, Mar 3, 2021, Sep 26, 2016 (3 updates tracked since 2016).

About Omar A Ibrahimi Md, Phd NPPES

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

OMAR A IBRAHIMI MD, PHD (NPI 1508061128) is an individual mohs-micrographic surgery provider in Stamford, Connecticut, licensed in Connecticut (049530) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Milford, and is a graduate of New York University School Of Medicine (2006).

NPPES Registry Identity

NPI1508061128
Entity TypeIndividualMale
Primary Taxonomy207ND0101X
Provider Legal NameOMAR A IBRAHIMICredential: MD, PHD
Location Address2777 SUMMER ST STE 600Stamford, CT 06905-4323
Mailing Address2777 Summer St Ste 600Stamford, CT 06905-4323 · (203) 428-4440 · Fax (203) 890-9449
Phone(203) 428-4440
Fax(901) 221-4916
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 2006
Enumeration DateJune 15, 2007
Last NPPES UpdateMay 13, 20253 updates tracked since enumeration
NPPES CertifiedMay 13, 2025
✔ NPI 1508061128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License✔ Licensed in CT · 049530
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
Also ListedDermatologyTaxonomy 207N00000X · License L-232692 (MA)
2777 SUMMER ST STE 600, Stamford, CT 06905
Open in Google Maps ↗

Secondary Practice Location 1

Location 160 Commerce Park Ste CMilford, CT 06460-3513 · Phone (203) 428-4440 · Fax (901) 221-4916

Other Identifiers 1

Medicaid1508061128CT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Omar A Ibrahimi Md, Phd 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 ID8325170442
PECOS Enrollment IDI20110609000300
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 Reassignment

Medicare enrollment records show Omar Ibrahimi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Omar A Ibrahimi MD Phd LLC
Same address
MOHS-Micrographic Surgery
2777 SUMMER ST STE 600
Stamford, CT 06905
  • Reassigned Medicare billing, Connecticut enrollment
  • 4 clinicians in this Medicare group
NPI 1013263847 (203) 428-4440

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 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 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.
437 services317 patients
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks 17311
This procedure involves the careful removal of a growth from the head, neck, hands, or feet. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to study its characteristics and determine the nature of the growth.
321 services279 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
226 services226 patients
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks 17312
This procedure involves the careful removal of abnormal growths from the head, neck, hands, or feet. The removed tissues, divided into 1-5 blocks, are then examined under a microscope to identify any irregularities. The process may be carried out in multiple stages for thorough examination.
150 services119 patients
Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm 13132
This procedure involves the complex repair of a wound in areas like the forehead, cheeks, chin, mouth, neck, underarms, hands, or feet. The wound size ranges from 2.6-7.5 cm. The process includes cleaning, removing damaged tissue, and stitching the wound for proper healing.
146 services134 patients
Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm 13121
This is a procedure to repair a complex wound on your scalp, arm, or leg that is 2.6-7.5 cm long. It involves cleaning, removing damaged tissue, and stitching the wound to promote healing. It's performed under local or general anesthesia.
123 services105 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06905 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,696 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%1,058 patients5/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
79%1,081 patients4/55-star benchmark: 100%
Pain Assessment and Follow-Up
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present
99%1,696 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
100%2,677 patients5/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
99%708 patients5/55-star benchmark: 95%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
100%417 patients5/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
98%2,677 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
68%2,677 patients4/55-star benchmark: 79%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

OMAR A IBRAHIMI MD PHD LLC
Dermatology (MOHS-Micrographic Surgery)
2777 SUMMER ST STE 600
STAMFORD, CT 06905
Western Connecticut Planning Region (203) 428-4440
FATIMA RAUF BAWANY MD
Dermatology
2777 SUMMER ST STE 600
STAMFORD, CT 06905
Western Connecticut Planning Region (203) 428-4440
MATTHEW JAMES FEDULLO PA-C
Physician Assistant
2777 SUMMER ST STE 600
STAMFORD, CT 06905
Western Connecticut Planning Region (203) 428-4440

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 Omar Ibrahimi's NPI number?

The NPI number for Omar Ibrahimi is 1508061128. It was assigned to this individual provider in the NPPES registry on June 15, 2007.

Where is Omar Ibrahimi located?

Omar Ibrahimi practices at 2777 Summer St Ste 600, Stamford, CT 06905. The listed phone number is (203) 428-4440.

What is Omar Ibrahimi's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Is Omar Ibrahimi enrolled in Medicare?

Yes. Omar Ibrahimi 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 organization bills Medicare for Omar Ibrahimi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Omar Ibrahimi reassigns Medicare benefits to Omar A Ibrahimi MD Phd LLC (Stamford, CT). The 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 Omar Ibrahimi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Omar Ibrahimi accept?

Health plans from Anthem Blue Cross and Blue Shield list Omar Ibrahimi 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.

When was this NPI record last updated?

The NPPES record for Omar Ibrahimi was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.