OMER IBRAHIM
NPI 1871869438
Dermatology in Chicago, IL

Q: What is Omer Ibrahim's NPI number?

The NPI number for Omer Ibrahim is 1871869438. It was assigned to this individual provider in the NPPES registry on March 28, 2012.

Q: What is Omer Ibrahim's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Q: When was this NPI record last updated?

The NPPES record for Omer Ibrahim was last updated on April 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 March 28, 2012PECOS EnrolledAccepts Medicare Assignment

515 N STATE ST STE 900, CHICAGO, IL 60654(312) 245-9965(312) 245-9964 Get Directions Write a Review

NPPES record last updated: April 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 13, 2022, Jul 25, 2019 (2 updates tracked since 2019).

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About Omer Ibrahim NPPES

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

OMER IBRAHIM (NPI 1871869438) is an individual dermatology provider in Chicago, Illinois, licensed in Illinois (036143080) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Yale University School Of Medicine (2012).

NPPES Registry Identity

NPI1871869438

Entity TypeIndividualMale

Primary Taxonomy207N00000X

Provider Legal NameOMER IBRAHIM

Location Address515 N STATE ST STE 900Chicago, IL 60654

Mailing Address515 N State St Ste 900Chicago, IL 60654-9104 · (312) 245-9965 · Fax (312) 245-9964

Phone(312) 245-9965

Fax(312) 245-9964

Sole ProprietorYes

Medical School CMSYale University School Of MedicineGraduated 2012

Enumeration DateMarch 28, 2012

Last NPPES UpdateApril 13, 20222 updates tracked since enumeration

NPPES CertifiedApril 13, 2022

✔ NPI 1871869438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in IL · 036143080

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License 036.143080 (IL)

515 N STATE ST STE 900, Chicago, IL 60654

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Secondary Practice Locations 2

Location 19500 Euclid AveCleveland, OH 44195-0001 · Phone (216) 444-2200

Location 2515 N State St Ste 900Chicago, IL 60654 · Phone (312) 245-9965 · Fax (312) 245-9964

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Omer 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 ID7214168491

PECOS Enrollment IDI20170908000060

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

18 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60654 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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.

CAROLINE SHEPPARD PA-C

Physician Assistant