IBRAHIM TAWFIQ FAKHOURI MD
NPI 1720248206
Family Medicine in Henderson, NV

Q: What is Ibrahim Fakhouri's NPI number?

The NPI number for Ibrahim Fakhouri is 1720248206. It was assigned to this individual provider in the NPPES registry on June 10, 2008.

Q: What is Ibrahim Fakhouri's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Ibrahim Fakhouri was last updated on February 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since June 10, 2008PECOS EnrolledAccepts Medicare Assignment

861 CORONADO CENTER DR STE 220, HENDERSON, NV 89052(702) 933-1485(702) 933-1490 Get Directions Write a Review

NPPES record last updated: February 8, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ibrahim Tawfiq Fakhouri Md NPPES

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

IBRAHIM TAWFIQ FAKHOURI MD (NPI 1720248206) is an individual family medicine provider in Henderson, Nevada, licensed in Nevada (14038) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, maintains a secondary practice location in Henderson, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1720248206

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameIBRAHIM TAWFIQ FAKHOURICredential: MD

Location Address861 CORONADO CENTER DR STE 220Henderson, NV 89052-3992

Mailing Address861 Coronado Center Dr Ste 220Henderson, NV 89052-3992 · (702) 933-1485 · Fax (702) 933-1490

Phone(702) 933-1485

Fax(702) 933-1490

Sole ProprietorYes

Medical School CMSOtherGraduated 2005

Enumeration DateJune 10, 2008

Last NPPES UpdateFebruary 8, 2018

✔ NPI 1720248206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in NV · 14038✔ Licensed in NM · MD2010-0739✔ Licensed in FL · ME 109981✔ Licensed in PA · MD443512

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

861 CORONADO CENTER DR STE 220, Henderson, NV 89052

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Secondary Practice Location 1

Location 1100 N Green Valley Pkwy, Suite 239Henderson, NV 89074-6391 · Phone (702) 933-1485 · Fax (702) 933-1490

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ibrahim Tawfiq Fakhouri Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406028125

PECOS Enrollment IDI20110930000353

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

178 services96 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89052 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

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

9 suppliers21 claims62 services$6.21 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

2 suppliers11 claims27 services$27.47 avg. paid by Medicare

Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028

DME-Wheelchairs · category DD021N

1 supplier12 claims12 services$9.26 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

3 suppliers29 claims29 services$192.64 avg. paid by Medicare

Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds K0823

DME-Wheelchairs · category DD009N

1 supplier12 claims12 services$125.00 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 5

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

AMON DENZEL LESTER FNP-C

Nurse Practitioner (Family)