YOUSEF SAMUEL EBRAHIM IBRAHIM MD
NPI 1669369740
Student in an Organized Health Care Education/Training Program in Columbus, MS

Q: What is Yousef Ebrahim Ibrahim's NPI number?

The NPI number for Yousef Ebrahim Ibrahim is 1669369740. It was assigned to this individual provider in the NPPES registry on June 20, 2025.

Q: What is Yousef Ebrahim Ibrahim's specialty?

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

Active since June 20, 2025PECOS Enrolled

2520 5TH ST N, COLUMBUS, MS 39705(662) 244-1000 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 26, 2026, Jun 20, 2025 (2 updates tracked since 2025).

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About Yousef Samuel Ebrahim Ibrahim Md NPPES

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

YOUSEF SAMUEL EBRAHIM IBRAHIM MD (NPI 1669369740) is an individual student in an organized health care education/training program in Columbus, Mississippi and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669369740

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameYOUSEF SAMUEL EBRAHIM IBRAHIMCredential: MD

Location Address2520 5TH ST NColumbus, MS 39705-2008

Mailing Address2520 5th St NColumbus, MS 39705-2008 · (662) 244-1000

Phone(662) 244-1000

Sole ProprietorNo

Enumeration DateJune 20, 2025

Last NPPES UpdateJanuary 26, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 26, 2026

✔ NPI 1669369740 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.

2520 5TH ST N, Columbus, MS 39705

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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)

Yousef Samuel Ebrahim Ibrahim Md 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.

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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.

SHAHEEM UR REHMAN MD

Student in an Organized Health Care Education/Training Program