IBRAHIM FATTAH MD
NPI 1679278204
Student in an Organized Health Care Education/Training Program in Sacramento, CA
About Ibrahim Fattah Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IBRAHIM FATTAH MD (NPI 1679278204) is an individual student in an organized health care education/training program in Sacramento, California and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ibrahim Fattah Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Ibrahim Fattah reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sacramento, CA 95819
- Reassigned Medicare billing, California enrollment
- 2,323 clinicians in this Medicare group
Stockton, CA 95210
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
SACRAMENTO, CA 95817
SACRAMENTO, CA 95817
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 Ibrahim Fattah's NPI number?
The NPI number for Ibrahim Fattah is 1679278204. It was assigned to this individual provider in the NPPES registry on April 3, 2023.
Where is Ibrahim Fattah located?
Ibrahim Fattah practices at 2315 Stockton Blvd, Sacramento, CA 95817. The listed phone number is (916) 734-2011.
What is Ibrahim Fattah's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Ibrahim Fattah enrolled in Medicare?
Yes. Ibrahim Fattah is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Ibrahim Fattah's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ibrahim Fattah reassigns Medicare benefits to 2 organizations: Cep America - California (Sacramento, CA) and Permanente Medical Group Inc (Stockton, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ibrahim Fattah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Ibrahim Fattah was last updated on October 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.
# Ibrahim Fattah, MD · NPI 1679278204
Student in an Organized Health Care Education/Training Program provider in Sacramento, California. Individual provider, active in the CMS NPPES registry since April 3, 2023.
## Identity
- **NPI:** 1679278204 (Entity type: Individual)
- **Enumerated:** April 3, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2315 STOCKTON BLVD, Sacramento, CA 95817-2201
- **Phone:** (916) 734-2011
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Cep America - California (NPI 1356695092, Sacramento, CA); Permanente Medical Group Inc (NPI 1548343510, Stockton, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** October 6, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1679278204) · Data from the CMS NPPES public registry.