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MS. SHIRAN IBRAGIMOV PA
NPI 1629612734
Physician Assistant in Flushing, NY

Active since October 31, 2019PECOS Enrolled
15064 77TH RD, FLUSHING, NY 11367(347) 972-5510 Get Directions Write a Review

NPPES record last updated: October 31, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Shiran Ibragimov Pa NPPES

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

MS. SHIRAN IBRAGIMOV PA (NPI 1629612734) is an individual physician assistant in Flushing, New York and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629612734
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. SHIRAN IBRAGIMOVCredential: PA
Location Address15064 77TH RDFlushing, NY 11367-3423
Mailing Address15064 77th RdFlushing, NY 11367-3423 · (347) 972-5510
Phone(347) 972-5510
Sole ProprietorNo
Enumeration DateOctober 31, 2019
✔ NPI 1629612734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
15064 77TH RD, Flushing, NY 11367
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Shiran Ibragimov Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11367 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
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.

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 Shiran Ibragimov's NPI number?

The NPI number for Shiran Ibragimov is 1629612734. It was assigned to this individual provider in the NPPES registry on October 31, 2019.

Where is Shiran Ibragimov located?

Shiran Ibragimov practices at 15064 77th Rd, Flushing, NY 11367. The listed phone number is (347) 972-5510.

What is Shiran Ibragimov's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Shiran Ibragimov enrolled in Medicare?

Yes. Shiran Ibragimov is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shiran Ibragimov was last updated on October 31, 2019. 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.