IBRAHEIM AYUB DO
NPI 1659121598
Student in an Organized Health Care Education/Training Program in Waterbury, CT

Q: What is Ibraheim Ayub's NPI number?

The NPI number for Ibraheim Ayub is 1659121598. It was assigned to this individual provider in the NPPES registry on March 25, 2024.

Q: What is Ibraheim Ayub's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ibraheim Ayub was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since March 25, 2024PECOS Enrolled

160 ROBBINS ST, WATERBURY, CT 06708(203) 573-7284(203) 573-7031 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ibraheim Ayub Do NPPES

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

IBRAHEIM AYUB DO (NPI 1659121598) is an individual student in an organized health care education/training program in Waterbury, Connecticut and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS and is a graduate of At Still Un Of Hlth Sciences, Col Of Osteo Med, Mesa (2024).

NPPES Registry Identity

NPI1659121598

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameIBRAHEIM AYUBCredential: DO

Location Address160 ROBBINS STWaterbury, CT 06708-2652

Mailing Address64 Robbins StWaterbury, CT 06708-2600 · (203) 573-6162 · Fax (203) 573-6707

Phone(203) 573-7284

Fax(203) 573-7031

Sole ProprietorNo

Medical School CMSAt Still Un Of Hlth Sciences, Col Of Osteo Med, MesaGraduated 2024

Enumeration DateMarch 25, 2024

Last NPPES UpdateAugust 6, 2025

NPPES CertifiedAugust 6, 2025

✔ NPI 1659121598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

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.

160 ROBBINS ST, Waterbury, CT 06708

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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)

Ibraheim Ayub Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628542370

PECOS Enrollment IDI20260702002732

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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VALERIIA DINDIKOVA MD

Student in an Organized Health Care Education/Training Program