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SAMMUDEEN IBRAHIM MD
NPI 1881312049
Internal Medicine - Cardiovascular Disease in Scottsdale, AZ

Active since August 15, 2022PECOS EnrolledAccepts Medicare Assignment
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259(480) 301-8000 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 3, 2025, Aug 15, 2022 (2 updates tracked since 2022).

About Sammudeen Ibrahim Md NPPES

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

SAMMUDEEN IBRAHIM MD (NPI 1881312049) is an individual cardiovascular disease provider in Scottsdale, Arizona, licensed in Arizona (78046) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1881312049
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameSAMMUDEEN IBRAHIMCredential: MD
Location Address13400 E SHEA BLVDScottsdale, AZ 85259-5499
Mailing AddressPo Box 860912Minneapolis, MN 55486-0912 · (480) 301-8000
Phone(480) 301-8000
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 15, 2022
Last NPPES UpdateNovember 3, 20252 updates tracked since enumeration
NPPES CertifiedNovember 3, 2025
✔ NPI 1881312049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in AZ · 78046
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
13400 E SHEA BLVD, Scottsdale, AZ 85259
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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

Sammudeen Ibrahim 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.

PECOS PAC ID1456842772
PECOS Enrollment IDI20251114002030
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 Reassignment

Medicare enrollment records show Sammudeen Ibrahim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mayo Clinic Arizona
0.1 mi
Multi-Specialty
13400 E SHEA BLVD
Scottsdale, AZ 85259
  • Reassigned Medicare billing, Arizona enrollment
  • 1,792 clinicians in this Medicare group
NPI 1558332494 (480) 301-8000

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 85259 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

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.

AMITKUMAR MEHTA MD
Internal Medicine (Hematology & Oncology)
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Maricopa County (480) 301-8000
DR. DEBJIT SAHA MBBS
Internal Medicine (Critical Care Medicine)
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Maricopa County (480) 301-8000
MICHAL REID M.D.
Internal Medicine (Pulmonary Disease)
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Maricopa County (480) 301-8000
DR. DANIEL MARK FRENDL MD, PHD
Urology
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Maricopa County (480) 301-8000
BRETT THEODORE TOLPA CRNA
Nurse Anesthetist, Certified Registered
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Maricopa County (480) 301-8000
GINA MUNSON CRNA
Nurse Anesthetist, Certified Registered
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Maricopa County (480) 301-8000
DR. CATALINA NICOLE FLORES MD
Radiology (Diagnostic Radiology)
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Maricopa County (480) 301-8000
NICOLE WARRINGTON MD
Radiology (Diagnostic Radiology)
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Maricopa County (480) 301-8000

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 Sammudeen Ibrahim's NPI number?

The NPI number for Sammudeen Ibrahim is 1881312049. It was assigned to this individual provider in the NPPES registry on August 15, 2022.

Where is Sammudeen Ibrahim located?

Sammudeen Ibrahim practices at 13400 E Shea Blvd, Scottsdale, AZ 85259. The listed phone number is (480) 301-8000.

What is Sammudeen Ibrahim's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Sammudeen Ibrahim enrolled in Medicare?

Yes. Sammudeen 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.

Which organization bills Medicare for Sammudeen Ibrahim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sammudeen Ibrahim reassigns Medicare benefits to Mayo Clinic Arizona (Scottsdale, AZ). 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 Sammudeen Ibrahim'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 Sammudeen Ibrahim was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.