GHAITH IBRAHIM
NPI 1841853975
Internal Medicine in Allen, TX

Active since April 15, 2019PECOS EnrolledAccepts Medicare Assignment
1105 CENTRAL EXPY N STE 235, ALLEN, TX 75013(972) 747-6042 Get Directions Write a Review

NPPES record last updated: June 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 7, 2023, Feb 24, 2023, Apr 15, 2019 (3 updates tracked since 2019).

About Ghaith Ibrahim NPPES

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

GHAITH IBRAHIM (NPI 1841853975) is an individual internal medicine provider in Allen, Texas, licensed in Texas (U1432) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Texas Health Presbyterian Hospital Allen, and maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1841853975
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameGHAITH IBRAHIM
Location Address1105 CENTRAL EXPY N STE 235Allen, TX 75013-6135
Mailing Address5275 Town And Country Blvd Apt 2127Frisco, TX 75034-6242
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 15, 2019
Last NPPES UpdateJune 7, 20233 updates tracked since enumeration
NPPES CertifiedJune 7, 2023
NPI 1841853975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in TX · U1432
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1105 CENTRAL EXPY N STE 235, Allen, TX 75013

Secondary Practice Location 1

Location 1303 Parkway Dr NE Fl 4Atlanta, GA 30312-1212 · Phone (404) 265-4158

Accepted Insurance

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

Ghaith Ibrahim 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 ID8325419252
PECOS Enrollment IDI20230309000273
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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
192 services183 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Texas Health Presbyterian Hospital Allen

Acute Care Hospitals · Allen, TX
4/5 CMS rating
OwnershipGovernment - Federal
CMS Certification Number450840
Location1105 Central Expressway NorthAllen, TX 75013 · Collin County
Emergency services Birthing friendly

Baylor Scott And White Medical Center Sunnyvale

Acute Care Hospitals · Sunnyvale, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number670060
Location231 South Collins RoadSunnyvale, TX 75182 · Dallas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75013 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Other Providers at the Same Location NPPES 14

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

Internal Medicine
1105 CENTRAL EXPY N STE 235
ALLEN, TX 75013
Internal Medicine
1105 CENTRAL EXPY N STE 235
ALLEN, TX 75013
Internal Medicine
1105 CENTRAL EXPY N STE 235
ALLEN, TX 75013
Physician Assistant
1105 CENTRAL EXPY N STE 235
ALLEN, TX 75013
Family Medicine
1105 CENTRAL EXPY N STE 235
ALLEN, TX 75013
Internal Medicine
1105 CENTRAL EXPY N STE 235
ALLEN, TX 75013
Internal Medicine
1105 CENTRAL EXPY N STE 235
ALLEN, TX 75013
Internal Medicine
1105 CENTRAL EXPY N STE 235
ALLEN, TX 75013

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 Ghaith Ibrahim's NPI number?

The NPI number for Ghaith Ibrahim is 1841853975. It was assigned to this individual provider in the NPPES registry on April 15, 2019.

Where is Ghaith Ibrahim located?

Ghaith Ibrahim practices at 1105 Central Expy N Ste 235, Allen, TX 75013. The listed phone number is (972) 747-6042.

What is Ghaith Ibrahim's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ghaith Ibrahim enrolled in Medicare?

Yes. Ghaith Ibrahim 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.

What insurance does Ghaith Ibrahim accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Ghaith 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.

Is Ghaith Ibrahim affiliated with any hospitals?

According to CMS data, Ghaith Ibrahim is affiliated with Texas Health Presbyterian Hospital Allen and Baylor Scott And White Medical Center Sunnyvale.

When was this NPI record last updated?

The NPPES record for Ghaith Ibrahim was last updated on June 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.