DR. KIROLOS IBRAHIM M.D.
NPI 1700318821
Ophthalmology in Port Jefferson, NY
About Dr. Kirolos Ibrahim M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KIROLOS IBRAHIM M.D. (NPI 1700318821) is an individual ophthalmology provider in Port Jefferson, New York, licensed in Georgia (88070) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Kirolos Ibrahim M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kirolos Ibrahim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Antioch, TN 37013
- Reassigned Medicare billing, Tennessee enrollment
- 12 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11777 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PORT JEFFERSON, NY 11777
PORT JEFFERSON, NY 11777
PORT JEFFERSON, NY 11777
PORT JEFFERSON, NY 11777
PORT JEFFERSON, NY 11777
PORT JEFFERSON, NY 11777
PORT JEFFERSON, NY 11777
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 Kirolos Ibrahim's NPI number?
The NPI number for Kirolos Ibrahim is 1700318821. It was assigned to this individual provider in the NPPES registry on March 29, 2017.
Where is Kirolos Ibrahim located?
Kirolos Ibrahim practices at 75 North Country Road Mather Hospital Gme, Port Jefferson, NY 11777. The listed phone number is (631) 686-2549.
What is Kirolos Ibrahim's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Kirolos Ibrahim enrolled in Medicare?
Yes. Kirolos Ibrahim is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kirolos Ibrahim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kirolos Ibrahim reassigns Medicare benefits to Antioch Eye Care Center, Physician & Surgeon, PLLC (Antioch, TN). The 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 Kirolos Ibrahim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kirolos Ibrahim accept?
Health plans from Cigna Healthcare and Oscar Insurance Company list Kirolos 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 Kirolos Ibrahim was last updated on April 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Kirolos Ibrahim, M.D. · NPI 1700318821
Ophthalmology physician in Port Jefferson, New York. Individual provider, active in the CMS NPPES registry since March 29, 2017.
## Identity
- **NPI:** 1700318821 (Entity type: Individual)
- **Enumerated:** March 29, 2017
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** 88070 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 75 NORTH COUNTRY ROAD, MATHER HOSPITAL GME, Port Jefferson, NY 11777
- **Phone:** (631) 686-2549
## 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:** Antioch Eye Care Center, Physician & Surgeon, PLLC (NPI 1629477831, Antioch, TN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 27, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1700318821) · Data from the CMS NPPES public registry.