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IBRAHIM ABU AL-ROUB
NPI 1801682042
Student in an Organized Health Care Education/Training Program in Farmington, CT

Active since April 15, 2025PECOS Enrolled
263 FARMINGTON AVE, FARMINGTON, CT 06030(860) 679-2000 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ibrahim Abu Al-roub NPPES

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

IBRAHIM ABU AL-ROUB (NPI 1801682042) is an individual student in an organized health care education/training program in Farmington, Connecticut, licensed in Connecticut (14367) and active in the NPI registry since April 2025. The provider is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801682042
Entity TypeIndividual
Primary Taxonomy390200000X
Provider Legal NameIBRAHIM ABU AL-ROUB
Location Address263 FARMINGTON AVEFarmington, CT 06030-0001
Mailing Address240 Congress Ave Apt 209New Haven, CT 06519-1402 · (617) 383-3456
Phone(860) 679-2000
Sole ProprietorNo
Enumeration DateApril 15, 2025
Last NPPES UpdateMay 13, 2025
NPPES CertifiedMay 13, 2025
✔ NPI 1801682042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in CT · 14367
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

263 FARMINGTON AVE, Farmington, CT 06030
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ibrahim Abu Al-roub 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.

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.

MICHAEL JOSEPH GIORDANO MD
Neurological Surgery
263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-4228
DALAL CHENOUDA
Internal Medicine
263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-4477
MARGARET GRUNNET M.D.
Pathology (Anatomic Pathology)
263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-2980
NICHOLAS DEMARTINIS
Psychiatry & Neurology (Psychiatry)
263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-6700
JAMES W FRESTON M.D.
Internal Medicine (Gastroenterology)
263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-3238
SHIRLEY ALLEN RD
Dietitian, Registered
263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-4477
DOUGLAS V ALMOND M.D.
Internal Medicine
263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-4477
PATTILYNN CONARD
Nurse Anesthetist, Certified Registered
263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-3516

Frequently Asked Questions

What is Ibrahim Abu Al-roub's NPI number?

The NPI number assigned to this healthcare provider is 1801682042, enumerated as an "individual" on April 15, 2025.

Where is the provider located?

The provider is located at 263 FARMINGTON AVE FARMINGTON, CT 06030 and the phone number is (860) 679-2000.

What is the provider's specialty?

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.