DR. MOHAMED IBRAHIM BDS, MS, PHD, DMD
NPI 1659745529
Dentist - Endodontics in Milwaukee, WI

Active since November 16, 2015Opted out of Medicare · through Sep 1, 2026
1250 W WISCONSIN AVE, MILWAUKEE, WI 53233(414) 288-3455 Get Directions Write a Review

NPPES record last updated: November 16, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mohamed Ibrahim Bds, Ms, Phd, Dmd NPPES

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

DR. MOHAMED IBRAHIM BDS, MS, PHD, DMD (NPI 1659745529) is an individual endodontics provider in Milwaukee, Wisconsin, licensed in Wisconsin (18061-875) and active in the NPI registry since November 2015. He has opted out of Medicare through September 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1659745529
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameDR. MOHAMED IBRAHIMCredential: BDS, MS, PHD, DMD
Location Address1250 W WISCONSIN AVEMilwaukee, WI 53233-2225
Mailing Address18320 Taywood Cir Apt 202Brookfield, WI 53045-5681 · (319) 512-2837
Sole ProprietorNo
Enumeration DateNovember 16, 2015
NPI 1659745529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License Licensed in WI · 18061-875
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
1250 W WISCONSIN AVE, Milwaukee, WI 53233

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Mohamed Ibrahim Bds, Ms, Phd, Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 1, 2016 through September 1, 2026.

Opt-Out Effective DateSeptember 1, 2016
Opt-Out In Effect ThroughSeptember 1, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53233 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

Other Providers at the Same Location NPPES 8

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

Counselor (Mental Health)
1250 W WISCONSIN AVE
MILWAUKEE, WI 53233
Counselor (Mental Health)
1250 W WISCONSIN AVE
MILWAUKEE, WI 53233
Counselor (Mental Health)
1250 W WISCONSIN AVE
MILWAUKEE, WI 53233
Counselor (Mental Health)
1250 W WISCONSIN AVE
MILWAUKEE, WI 53233
Specialist/Technologist (Athletic Trainer)
1250 W WISCONSIN AVE
MILWAUKEE, WI 53233
Counselor (Mental Health)
1250 W WISCONSIN AVE
MILWAUKEE, WI 53233
Counselor (Mental Health)
1250 W WISCONSIN AVE
MILWAUKEE, WI 53233
Counselor (Mental Health)
1250 W WISCONSIN AVE
MILWAUKEE, WI 53233

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 Mohamed Ibrahim's NPI number?

The NPI number for Mohamed Ibrahim is 1659745529. It was assigned to this individual provider in the NPPES registry on November 16, 2015.

Where is Mohamed Ibrahim located?

Mohamed Ibrahim practices at 1250 W Wisconsin Ave, Milwaukee, WI 53233. The listed phone number is (414) 288-3455.

What is Mohamed Ibrahim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Mohamed Ibrahim enrolled in Medicare?

No. Mohamed Ibrahim has opted out of Medicare through September 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Mohamed Ibrahim accept?

Health plans from Delta Dental of Wisconsin, Inc. list Mohamed 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.

When was this NPI record last updated?

The NPPES record for Mohamed Ibrahim was last updated on November 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.