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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ELSAYED ELSAYED HASSAN IBRAHIM
NPI 1679182109
Pathology - Dermatopathology in Memphis, TN

Active since July 30, 2020PECOS Enrolled
930 MADISON AVE STE 890, MEMPHIS, TN 38103(901) 866-8834 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 28, 2026, Jul 30, 2020 (2 updates tracked since 2020).

About Elsayed Elsayed Hassan Ibrahim NPPES

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

ELSAYED ELSAYED HASSAN IBRAHIM (NPI 1679182109) is an individual dermatopathology provider in Memphis, Tennessee, licensed in Tennessee (76155) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1679182109
Entity TypeIndividualMale
Primary Taxonomy207ZD0900X
Provider Legal NameELSAYED ELSAYED HASSAN IBRAHIM
Location Address930 MADISON AVE STE 890Memphis, TN 38103-3413
Mailing Address1068 Cresthaven Rd Ste 300Memphis, TN 38119-0809 · (901) 866-8748
Phone(901) 866-8834
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 30, 2020
Last NPPES UpdateJuly 1, 20262 updates tracked since enumeration
NPPES CertifiedJuly 1, 2026
✔ NPI 1679182109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · DermatopathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZD0900X
License✔ Licensed in TN · 76155
Definition
A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy.
930 MADISON AVE STE 890, Memphis, TN 38103
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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)

Elsayed Elsayed Hassan Ibrahim is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668941816
PECOS Enrollment IDI20260515003962
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38103 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Other Providers at the Same Location NPPES 4

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

JOYA SAHU MD
Dermatology (Dermatopathology)
930 MADISON AVE STE 890
MEMPHIS, TN 38103
Shelby County (901) 866-8834
DR. TEJESH PATEL M.B.B.S, M.D.
Dermatology (Dermatopathology)
930 MADISON AVE STE 890
MEMPHIS, TN 38103
Shelby County (901) 866-8834
DR. AYODELE O ADELANWA MD
Pathology (Dermatopathology)
930 MADISON AVE STE 890
MEMPHIS, TN 38103
Shelby County (901) 866-8834
UTMG DERMATOPATHOLOGY, LLC
Clinical Medical Laboratory
930 MADISON AVE STE 890
MEMPHIS, TN 38103
Shelby County (901) 866-8834

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 Elsayed Ibrahim's NPI number?

The NPI number for Elsayed Ibrahim is 1679182109. It was assigned to this individual provider in the NPPES registry on July 30, 2020.

Where is Elsayed Ibrahim located?

Elsayed Ibrahim practices at 930 Madison Ave Ste 890, Memphis, TN 38103. The listed phone number is (901) 866-8834.

What is Elsayed Ibrahim's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Dermatopathology, with taxonomy code 207ZD0900X.

Is Elsayed Ibrahim enrolled in Medicare?

Yes. Elsayed Ibrahim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elsayed Ibrahim was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.