IBRAHIM TAWFIQ FAKHOURI MD
NPI 1720248206
Family Medicine in Henderson, NV
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
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Ibrahim Fakhouri reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Henderson, NV 89052
- Reassigned Medicare billing, Nevada enrollment
- Medicare enrollment name: Abraham T Fakhouri MD
- 2 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.
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.
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.
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.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HENDERSON, NV 89052
HENDERSON, NV 89052
HENDERSON, NV 89052
HENDERSON, NV 89052
HENDERSON, NV 89052
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 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.
Where is Ibrahim Fakhouri located?
Ibrahim Fakhouri practices at 861 Coronado Center Dr Ste 220, Henderson, NV 89052. The listed phone number is (702) 933-1485.
What is Ibrahim Fakhouri's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Ibrahim Fakhouri enrolled in Medicare?
Yes. Ibrahim Fakhouri is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Ibrahim Fakhouri's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ibrahim Fakhouri reassigns Medicare benefits to Abraham T. Fakhouri, M.D. (Henderson, NV). 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 Ibrahim Fakhouri'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 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.
# Ibrahim Tawfiq Fakhouri, MD · NPI 1720248206
Family Medicine physician in Henderson, Nevada. Individual provider, active in the CMS NPPES registry since June 10, 2008.
## Identity
- **NPI:** 1720248206 (Entity type: Individual)
- **Enumerated:** June 10, 2008
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 14038 (Nevada)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 861 CORONADO CENTER DR STE 220, Henderson, NV 89052-3992
- **Phone:** (702) 933-1485 · **Fax:** (702) 933-1490
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Abraham T. Fakhouri, M.D. (NPI 1730691890, Henderson, NV), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** February 8, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1720248206) · Data from the CMS NPPES public registry.