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NASHAAT BOTROUS IBRAHEIM MD
NPI 1659594752
Family Medicine in Houston, TX

Active since April 10, 2007PECOS EnrolledAccepts Medicare Assignment
12121 RICHMOND AVE, SUITE 412, HOUSTON, TX 77082(281) 558-5656(281) 558-5667 Get Directions Write a Review

NPPES record last updated: August 11, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nashaat Botrous Ibraheim Md NPPES

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

NASHAAT BOTROUS IBRAHEIM MD (NPI 1659594752) is an individual family medicine provider in Houston, Texas, licensed in Texas (K4089) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Hca Houston Healthcare West, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1659594752
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameNASHAAT BOTROUS IBRAHEIMCredential: MD
Location Address12121 RICHMOND AVE, SUITE 412Houston, TX 77082-2437
Mailing Address12121 Richmond Ave, Suite 412Houston, TX 77082-2437 · (281) 558-5656 · Fax (281) 558-5667
Phone(281) 558-5656
Fax(281) 558-5667
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateApril 10, 2007
Last NPPES UpdateAugust 11, 2010
✔ NPI 1659594752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · K4089
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
12121 RICHMOND AVE, Houston, TX 77082
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Other Identifiers 2

Medicare PIN8A4791TX
Medicaid157198601TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nashaat Botrous Ibraheim Md 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 ID5395879977
PECOS Enrollment IDI20100818000482
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.

Areas of Expertise CMS Part B claims 8

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.
44 services25 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
43 services31 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
20 services20 patients
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.
14 services12 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
13 services12 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

Hca Houston Healthcare West

Acute Care Hospitals · Houston, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450644
Location12141 Richmond AveHouston, TX 77082 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77082 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

Reported Quality Measures

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.
95%2,650 patients4/55-star benchmark: 99%
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.
96%111 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.
19%473 patients1/55-star benchmark: 97%
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…
93%473 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…
5%473 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
15%473 patients
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers18 claims40 services$6.26 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
2 suppliers11 claims11 services$1.13 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 20

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

STEPHEN E. GUILLIAMS, MD PA
Obstetrics & Gynecology
12121 RICHMOND AVE, SUITE 203
HOUSTON, TX 77082
Harris County (281) 558-5855
COASTAL-KIDNEY TREATMENT CENTERS PLLC
Internal Medicine (Nephrology)
12121 RICHMOND AVE, #214
HOUSTON, TX 77082
Harris County (281) 558-6555
DR. EDWARD H SAUER D.D.S.
Dentist (General Practice)
12121 RICHMOND AVE, SUITE 314
HOUSTON, TX 77082
Harris County (281) 870-9000
AMY TERMINA CSA
Specialist/Technologist, Other (Surgical Assistant)
12121 RICHMOND AVE, SUITE 201
HOUSTON, TX 77082
Harris County (832) 797-8405
TAWAKKOL SURGICAL, LLC
Clinic/Center (Ambulatory Surgical)
12121 RICHMOND AVE, SUITE 408
HOUSTON, TX 77082
Harris County (281) 293-8307
WEST HOUSTON MEDICAL CENTER
General Acute Care Hospital
12121 RICHMOND AVE, SUITE # 417
HOUSTON, TX 77082
Harris County (713) 582-8968
CUO PA
Internal Medicine
12121 RICHMOND AVE, SUITE 420
HOUSTON, TX 77082
Harris County (281) 496-5900
MISS DEBORAH LYNN BORGMAN R.N.FNP
Nurse Practitioner (Primary Care)
12121 RICHMOND AVE, SUITE 409
HOUSTON, TX 77082
Harris County (281) 493-4922

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 Nashaat Ibraheim's NPI number?

The NPI number for Nashaat Ibraheim is 1659594752. It was assigned to this individual provider in the NPPES registry on April 10, 2007.

Where is Nashaat Ibraheim located?

Nashaat Ibraheim practices at 12121 Richmond Ave Suite 412, Houston, TX 77082. The listed phone number is (281) 558-5656.

What is Nashaat Ibraheim's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nashaat Ibraheim enrolled in Medicare?

Yes. Nashaat Ibraheim 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.

What insurance does Nashaat Ibraheim accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 6 other insurers list Nashaat Ibraheim 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 Nashaat Ibraheim affiliated with any hospitals?

According to CMS data, Nashaat Ibraheim is affiliated with Hca Houston Healthcare West.

When was this NPI record last updated?

The NPPES record for Nashaat Ibraheim was last updated on August 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.