IDIL IBRAHIM M.D
NPI 1629690631
Student in an Organized Health Care Education/Training Program in Washington, DC

Active since May 13, 2020PECOS EnrolledAccepts Medicare Assignment
2041 GEORGIA AVENUE WASHINGTON, NW, WASHINGTON, DC 20060(202) 865-1452(202) 865-7202 Get Directions Write a Review

NPPES record last updated: April 28, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 30, 2024, May 13, 2020 (2 updates tracked since 2020).

About Idil Ibrahim M.d NPPES

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

IDIL IBRAHIM M.D (NPI 1629690631) is an individual student in an organized health care education/training program in Washington, District Of Columbia and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1629690631
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameIDIL IBRAHIMCredential: M.D
Location Address2041 GEORGIA AVENUE WASHINGTON, NWWashington, DC 20060
Mailing Address2150 Pennsylvania Ave NwWashington, DC 20037-3201 · (202) 741-3000 · Fax (202) 865-7202
Fax(202) 865-7202
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 13, 2020
Last NPPES UpdateApril 28, 20232 updates tracked since enumeration
NPPES CertifiedApril 28, 2023
✔ NPI 1629690631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2041 GEORGIA AVENUE WASHINGTON, NW, Washington, DC 20060

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

Idil 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 ID42743791
PECOS Enrollment IDI20241101002689
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 Idil Ibrahim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Maintenance Organization
700 2ND ST NE
Washington, DC 20002
  • Reassigned Medicare billing, District of Columbia enrollment
  • 2,492 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.

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 Idil Ibrahim's NPI number?

The NPI number for Idil Ibrahim is 1629690631. It was assigned to this individual provider in the NPPES registry on May 13, 2020.

Where is Idil Ibrahim located?

Idil Ibrahim practices at 2041 Georgia Avenue Washington, NW, Washington, DC 20060. The listed phone number is (202) 865-1452.

What is Idil Ibrahim's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Idil Ibrahim enrolled in Medicare?

Yes. Idil 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 Idil Ibrahim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Idil Ibrahim reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Washington, DC). 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 Idil Ibrahim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Idil Ibrahim was last updated on April 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.