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DR. KIROLOS IBRAHIM M.D.
NPI 1700318821
Ophthalmology in Port Jefferson, NY

Active since March 29, 2017PECOS Enrolled
75 NORTH COUNTRY ROAD, MATHER HOSPITAL GME, PORT JEFFERSON, NY 11777(631) 686-2549 Get Directions Write a Review

NPPES record last updated: April 27, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 27, 2021, Mar 29, 2017 (2 updates tracked since 2017).

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

NPI1700318821
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. KIROLOS IBRAHIMCredential: M.D.
Location Address75 NORTH COUNTRY ROAD, MATHER HOSPITAL GMEPort Jefferson, NY 11777
Mailing AddressEmory University 1364 Clifton Rd NeAtlanta, GA 30322-0001 · (404) 712-2000
Phone(631) 686-2549
Sole ProprietorNo
Enumeration DateMarch 29, 2017
Last NPPES UpdateApril 27, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2021
✔ NPI 1700318821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in GA · 88070
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
75 NORTH COUNTRY ROAD, Port Jefferson, NY 11777
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kirolos Ibrahim M.d. 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.

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.

New Patient
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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 9

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

FARHAD MOHAMMAD AMJAD
Student in an Organized Health Care Education/Training Program
75 NORTH COUNTRY ROAD
PORT JEFFERSON, NY 11777
Suffolk County (631) 686-2549
PORT INTERVENTIONAL RADIOLOGY PC
Radiology (Diagnostic Radiology)
75 NORTH COUNTRY ROAD
PORT JEFFERSON, NY 11777
Suffolk County (631) 476-2757
ABDULLAH ALI M.D.
Student in an Organized Health Care Education/Training Program
75 NORTH COUNTRY ROAD
PORT JEFFERSON, NY 11777
Suffolk County (631) 473-1320
MUHAMMAD HASEEB WASEEM M.D
Student in an Organized Health Care Education/Training Program
75 NORTH COUNTRY ROAD
PORT JEFFERSON, NY 11777
Suffolk County (631) 686-2549
PROFESSIONAL RADIOLOGY PC
Radiology (Diagnostic Radiology)
75 NORTH COUNTRY ROAD
PORT JEFFERSON, NY 11777
Suffolk County (631) 476-2757
CAREENA ANN LOBO
Student in an Organized Health Care Education/Training Program
75 NORTH COUNTRY ROAD
PORT JEFFERSON, NY 11777
Suffolk County (631) 476-2874
MANAL SYEDA DO
Student in an Organized Health Care Education/Training Program
75 NORTH COUNTRY ROAD
PORT JEFFERSON, NY 11777
Suffolk County (631) 686-2549
JENNIFER DAWN CONDLIN RN
Nurse Practitioner (Family)
75 NORTH COUNTRY ROAD
PORTJEFFERSON, NY 11777
Suffolk County (631) 473-1320

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.

What insurance does Kirolos Ibrahim accept?

Health plans from 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.