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ROSE IBRAHIM
NPI 1902576150
Physician Assistant - Surgical in Orlando, FL

Active since September 19, 2021PECOS EnrolledAccepts Medicare Assignment
125 W COPELAND DR, ORLANDO, FL 32806(321) 841-7090(321) 843-2267 Get Directions Write a Review

NPPES record last updated: October 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 8, 2022, Sep 19, 2021 (2 updates tracked since 2021).

About Rose Ibrahim NPPES

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

ROSE IBRAHIM (NPI 1902576150) is an individual surgical provider in Orlando, Florida, licensed in Florida (PA9119022) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, is affiliated with Orlando Health, and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1902576150
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameROSE IBRAHIM
Location Address125 W COPELAND DROrlando, FL 32806-2101
Mailing Address125 W Copeland DrOrlando, FL 32806 · (321) 841-7090 · Fax (321) 843-2267
Phone(321) 841-7090
Fax(321) 843-2267
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 19, 2021
Last NPPES UpdateOctober 16, 20242 updates tracked since enumeration
NPPES CertifiedOctober 11, 2024
✔ NPI 1902576150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in FL · PA9119022
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA9089 (MA)
125 W COPELAND DR, Orlando, FL 32806
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Secondary Practice Location 1

Location 1360 Huntington Avenue, 202 Robinson Hall/PA programBoston, MA 02115 · Phone (617) 373-3195

Other Identifiers 1

Medicaid124041500FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

Rose 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 ID3173993698
PECOS Enrollment IDI20241003003028
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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
24 services21 patients

Hospital Affiliations CMS Care Compare

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

Orlando Health

Acute Care Hospitals · Orlando, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100006
Location52 W Underwood StOrlando, FL 32806 · Orange County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 13

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

DR. JAMES THOMAS SHOUKAS M.D.
Plastic Surgery
125 W COPELAND DR
ORLANDO, FL 32806
Orange County (321) 841-7090
DR. JURIJ KIEFER MD
Surgery (Plastic and Reconstructive Surgery)
125 W COPELAND DR
ORLANDO, FL 32806
Orange County (321) 841-7090
EMILY WAITE PA-C
Physician Assistant (Surgical)
125 W COPELAND DR
ORLANDO, FL 32806
Orange County (321) 841-7090
DR. THOMAS MICHAEL BROWN JR. DO
Dermatology
125 W COPELAND DR, 1ST FLOOR
ORLANDO, FL 32806
Orange County (321) 841-7090
CELINA RUYSSERS P.A.
Physician Assistant (Surgical)
125 W COPELAND DR
ORLANDO, FL 32806
Orange County (321) 841-7090
VINCENT ALAN CHAVANON MD
Surgery (Plastic and Reconstructive Surgery)
125 W COPELAND DR
ORLANDO, FL 32806
Orange County (321) 841-7090
PAULA GRAVINA MARTINEZ MD
Surgery (Plastic and Reconstructive Surgery)
125 W COPELAND DR, 1ST FLOOR
ORLANDO, FL 32806
Orange County (321) 841-7090
DARYA BONDAR APRN
Nurse Practitioner (Adult Health)
125 W COPELAND DR
ORLANDO, FL 32806
Orange County (321) 841-7090

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 Rose Ibrahim's NPI number?

The NPI number for Rose Ibrahim is 1902576150. It was assigned to this individual provider in the NPPES registry on September 19, 2021.

Where is Rose Ibrahim located?

Rose Ibrahim practices at 125 W Copeland Dr, Orlando, FL 32806. The listed phone number is (321) 841-7090.

What is Rose Ibrahim's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Rose Ibrahim enrolled in Medicare?

Yes. Rose 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 Rose Ibrahim accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama and AvMed list Rose 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 Rose Ibrahim affiliated with any hospitals?

According to CMS data, Rose Ibrahim is affiliated with Orlando Health.

When was this NPI record last updated?

The NPPES record for Rose Ibrahim was last updated on October 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.