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RUKAYATU IBRAHIM MD
NPI 1861803595
Pediatrics in Rockford, IL

Active since May 15, 2014PECOS Enrolled
1200 W STATE ST, ROCKFORD, IL 61102(815) 490-1600(815) 490-1881 Get Directions Write a Review

NPPES record last updated: May 14, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 14, 2026, Apr 25, 2024 (2 updates tracked since 2024).

About Rukayatu Ibrahim Md NPPES

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

RUKAYATU IBRAHIM MD (NPI 1861803595) is an individual pediatrics provider in Rockford, Illinois, licensed in Illinois (036140870) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861803595
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameRUKAYATU IBRAHIMCredential: MD
Location Address1200 W STATE STRockford, IL 61102-2112
Mailing Address1200 W State StRockford, IL 61102-2112 · (815) 490-1600 · Fax (815) 490-1881
Phone(815) 490-1600
Fax(815) 490-1881
Sole ProprietorNo
Enumeration DateMay 15, 2014
Last NPPES UpdateMay 14, 20262 updates tracked since enumeration
NPPES CertifiedMay 14, 2026
✔ NPI 1861803595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IL · 036140870
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1200 W STATE ST, Rockford, IL 61102
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rukayatu Ibrahim Md 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Rukayatu Ibrahim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Crusaders Central Clinic Association
Same address
Federally Qualified Health Center (FQHC)
1200 W STATE ST
Rockford, IL 61102
  • Reassigned Medicare billing, Illinois enrollment
  • 22 clinicians in this Medicare group
NPI 1902972557 (815) 490-1600
Near North Health Service Corporation
75 mi
Federally Qualified Health Center (FQHC)
1520 N KOSTNER AVE
Chicago, IL 60651
  • Reassigned Medicare billing, Illinois enrollment
  • 45 clinicians in this Medicare group
NPI 1720404494 (312) 337-1073

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61102 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 20

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

CARYN ANN RUZIC APRN
Nurse Practitioner (Family)
1200 W STATE ST
ROCKFORD, IL 61102
Winnebago County (815) 490-1600
DR. JOHN WALL MD
Family Medicine
1200 W STATE ST
ROCKFORD, IL 61102
Winnebago County (815) 490-1600
DR. ADEKOLA ABIOUDUN ASHAYE MD
Internal Medicine
1200 W STATE ST
ROCKFORD, IL 61102
Winnebago County (815) 490-1600
DR. GARY PATRICK FERNANDO MD
Pediatrics
1200 W STATE ST
ROCKFORD, IL 61102
Winnebago County (815) 490-1600
CRISTINA DIVENTI LSW
Social Worker
1200 W STATE ST
ROCKFORD, IL 61102
Winnebago County (815) 490-1600
CORNITA CANNON M.D.
Obstetrics & Gynecology
1200 W STATE ST
ROCKFORD, IL 61102
Winnebago County (815) 490-1600
LAURA PEREZ CNM, APRN
Advanced Practice Midwife
1200 W STATE ST
ROCKFORD, IL 61102
Winnebago County (815) 490-1600
KERIN CUMMINS APN
Nurse Practitioner (Family)
1200 W STATE ST
ROCKFORD, IL 61102
Winnebago County (815) 490-1600

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 Rukayatu Ibrahim's NPI number?

The NPI number for Rukayatu Ibrahim is 1861803595. It was assigned to this individual provider in the NPPES registry on May 15, 2014.

Where is Rukayatu Ibrahim located?

Rukayatu Ibrahim practices at 1200 W State St, Rockford, IL 61102. The listed phone number is (815) 490-1600.

What is Rukayatu Ibrahim's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Rukayatu Ibrahim enrolled in Medicare?

Yes. Rukayatu Ibrahim is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Rukayatu Ibrahim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rukayatu Ibrahim reassigns Medicare benefits to 2 organizations: Crusaders Central Clinic Association (Rockford, IL) and Near North Health Service Corporation (Chicago, IL). Each 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 Rukayatu Ibrahim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rukayatu Ibrahim accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Rukayatu 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 Rukayatu Ibrahim was last updated on May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.