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HISHAM IZZADIN IBRAHIM M.D
NPI 1619918760
Internal Medicine - Nephrology in Winter Garden, FL

Active since June 09, 2006PECOS EnrolledAccepts Medicare Assignment
78.18/100
CMS Quality Rating
1210 E PLANT ST STE 120, WINTER GARDEN, FL 34787(407) 297-8408(407) 297-8408 Get Directions Write a Review

NPPES record last updated: March 25, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 25, 2020, Jan 3, 2019, Aug 25, 2017 and 1 more (4 updates tracked since 2017).

About Hisham Izzadin Ibrahim M.d NPPES

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

HISHAM IZZADIN IBRAHIM M.D (NPI 1619918760) is an individual nephrology provider in Winter Garden, Florida, licensed in Nevada (17166) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1619918760
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameHISHAM IZZADIN IBRAHIMCredential: M.D
Location Address1210 E PLANT ST STE 120Winter Garden, FL 34787-2995
Mailing Address3333 E Camelback Rd, Ste 180Phoenix, AZ 85018-2396 · (602) 759-6883 · Fax (602) 224-3315
Phone(407) 297-8408
Fax(407) 297-8408
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateJune 9, 2006
Last NPPES UpdateMarch 25, 20204 updates tracked since enumeration
NPPES CertifiedMarch 25, 2020
✔ NPI 1619918760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in NV · 17166
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1210 E PLANT ST STE 120, Winter Garden, FL 34787
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12545 S Bruce St Ste 200Las Vegas, NV 89169-1778 · Phone (702) 732-2438 · Fax (702) 733-7876
Location 21600 SW Archer Rd, Department of of NephrologyGainesville, FL 32610-0224 · Phone (352) 273-8821

Other Identifiers 2

OtherME114722FL · License
Medicaid1619918760NV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

Hisham Izzadin 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 ID2062497217
PECOS Enrollment IDI20130213000294
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 Hisham Ibrahim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Florida Clinical Practice Association Inc
87 mi
Surgery
1600 SW ARCHER RD
Gainesville, FL 32610
  • Reassigned Medicare billing, Florida enrollment
  • 3,324 clinicians in this Medicare group
NPI 1063463768 (352) 265-7922

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 7

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 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.
177 services131 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
132 services49 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
75 services35 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
31 services26 patients
Dialysis procedure including 1 evaluation 90945
Dialysis is a treatment that filters and purifies the blood when your kidneys can't do their job. The procedure involves circulating your blood through a machine that removes waste products. An evaluation is done beforehand to assess your health and determine the best approach for your treatment.
26 services11 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
24 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Hospital

Acute Care Hospitals · Pensacola, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100093
Location123 Baptist WayPensacola, FL 32503 · Escambia County
Emergency services Birthing friendly

Uf Health Shands Hospital

Acute Care Hospitals · Gainesville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100113
Location1600 SW Archer RdGainesville, FL 32610 · Alachua County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34787 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

78.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.54
Promoting Interoperability100
Improvement Activities40
Cost54.74

Referred Medical Equipment & Supplies CMS DME claims 10

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

Azathioprine, oral, 50 mg J7500
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers12 claims450 services$1.07 avg. paid by Medicare
Cyclosporine, oral, 100 mg J7502
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers12 claims720 services$1.62 avg. paid by Medicare
Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg J7503
Treatment-Chemotherapy · category RH002N
5 suppliers53 claims23,040 services$1.21 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
38 suppliers154 claims25,644 services$0.29 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
19 suppliers78 claims13,650 services$0.01 avg. paid by Medicare
Cyclosporine, oral, 25 mg J7515
Treatment-Treatment - Miscellaneous · category RX029N
5 suppliers17 claims2,040 services$0.59 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.

CLAIRE PALMER BROWN NBC-HWC
Health and Wellness Coach
1210 E PLANT ST STE 120
WINTER GARDEN, FL 34787
Orange County (407) 297-8408

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 Hisham Ibrahim's NPI number?

The NPI number for Hisham Ibrahim is 1619918760. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is Hisham Ibrahim located?

Hisham Ibrahim practices at 1210 E Plant St Ste 120, Winter Garden, FL 34787. The listed phone number is (407) 297-8408.

What is Hisham Ibrahim's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Hisham Ibrahim enrolled in Medicare?

Yes. Hisham 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 organization bills Medicare for Hisham Ibrahim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hisham Ibrahim reassigns Medicare benefits to Florida Clinical Practice Association Inc (Gainesville, FL). 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 Hisham Ibrahim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hisham Ibrahim accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 2 other insurers list Hisham 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 Hisham Ibrahim affiliated with any hospitals?

According to CMS data, Hisham Ibrahim is affiliated with Baptist Hospital and Uf Health Shands Hospital.

When was this NPI record last updated?

The NPPES record for Hisham Ibrahim was last updated on March 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.