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DR. IBRAHIM QADDOUMI MD
NPI 1902087232
Pediatrics - Pediatric Hematology-Oncology in Memphis, TN

Active since November 15, 2007PECOS Enrolled
262 DANNY THOMAS PL, MEMPHIS, TN 38105(901) 595-3006(901) 595-3842 Get Directions Write a Review

NPPES record last updated: September 27, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Ibrahim Qaddoumi Md NPPES

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

DR. IBRAHIM QADDOUMI MD (NPI 1902087232) is an individual pediatric hematology-oncology provider in Memphis, Tennessee, licensed in Tennessee (42919) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902087232
Entity TypeIndividualMale
Primary Taxonomy2080P0207X
Provider Legal NameDR. IBRAHIM QADDOUMICredential: MD
Location Address262 DANNY THOMAS PLMemphis, TN 38105-3678
Mailing Address262 Danny Thomas Pl, Ms 515Memphis, TN 38105-3678 · (901) 595-3006 · Fax (901) 595-3842
Phone(901) 595-3006
Fax(901) 595-3842
Sole ProprietorNo
Enumeration DateNovember 15, 2007
Last NPPES UpdateSeptember 27, 2012
✔ NPI 1902087232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
License✔ Licensed in TN · 42919
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
262 DANNY THOMAS PL, Memphis, TN 38105
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Other Names 1

Other Name (5)Ibrahim Abdel-rahim Md

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ibrahim Qaddoumi 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.

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.

MISS JENNIFER ELAINE ROEMER CPNP-AC
Nurse Practitioner (Pediatrics)
262 DANNY THOMAS PL
MEMPHIS, TN 38105
Shelby County (901) 595-3300
MR. ALBERTO S. PAPPO M.D.
Pediatrics (Pediatric Hematology-Oncology)
262 DANNY THOMAS PL
MEMPHIS, TN 38105
Shelby County (901) 595-6765
MS. HEATHER MARIE CONKLIN PHD
Psychologist (Clinical)
262 DANNY THOMAS PL
MEMPHIS, TN 38105
Shelby County (901) 595-3006
ALYSSA COTTON
Nurse Practitioner (Family)
262 DANNY THOMAS PL
MEMPHIS, TN 38105
Shelby County (901) 595-3300
ARMITA BAHRAMI MD
Pathology (Anatomic Pathology & Clinical Pathology)
262 DANNY THOMAS PL
MEMPHIS, TN 38105
Shelby County (901) 595-3300
DR. SEAN PHIPPS PH.D.
Psychologist (Clinical Child & Adolescent)
262 DANNY THOMAS PL
MEMPHIS, TN 38105
Shelby County (901) 595-3006
WENDY BOURLAND D.O.
Pediatrics (Pediatric Hematology-Oncology)
262 DANNY THOMAS PL, MAILSTOP 260
MEMPHIS, TN 38105
Shelby County (901) 595-3300
JAMES MICHAEL BURGESS DNP, MBA, RN
Clinical Nurse Specialist (Oncology, Pediatrics)
262 DANNY THOMAS PL
MEMPHIS, TN 38105
Shelby County (901) 595-3300

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 Ibrahim Qaddoumi's NPI number?

The NPI number for Ibrahim Qaddoumi is 1902087232. It was assigned to this individual provider in the NPPES registry on November 15, 2007. The provider is also known as Ibrahim Abdel-Rahim MD.

Where is Ibrahim Qaddoumi located?

Ibrahim Qaddoumi practices at 262 Danny Thomas Pl, Memphis, TN 38105. The listed phone number is (901) 595-3006.

What is Ibrahim Qaddoumi's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Ibrahim Qaddoumi enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Ibrahim Qaddoumi was last updated on September 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.