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IBRAHIM IBRAHIM M.D.
NPI 1912562422
Anesthesiology in Loves Park, IL

Active since May 09, 2019PECOS EnrolledAccepts Medicare Assignment
2202 HARLEM ROAD, SUITE 200, LOVES PARK, IL 61111(815) 877-4848(815) 654-5342 Get Directions Write a Review

NPPES record last updated: September 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 3, 2024, May 9, 2019 (2 updates tracked since 2019).

About Ibrahim Ibrahim M.d. NPPES

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

IBRAHIM IBRAHIM M.D. (NPI 1912562422) is an individual anesthesiology provider in Loves Park, Illinois, licensed in Illinois (036.161997) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Fhn Memorial Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1912562422
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameIBRAHIM IBRAHIMCredential: M.D.
Location Address2202 HARLEM ROAD, SUITE 200Loves Park, IL 61111-2754
Mailing Address2202 Harlem Road, Suite 200Loves Park, IL 61111-2754 · (815) 877-4848 · Fax (815) 654-5342
Phone(815) 877-4848
Fax(815) 654-5342
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 9, 2019
Last NPPES UpdateSeptember 3, 20242 updates tracked since enumeration
✔ NPI 1912562422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in IL · 036.161997
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
2202 HARLEM ROAD, Loves Park, IL 61111
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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

Ibrahim Ibrahim M.d. 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 ID3476080979
PECOS Enrollment IDI20241223000917
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.

Hospital Affiliations CMS Care Compare 3

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

Fhn Memorial Hospital

Acute Care Hospitals · Freeport, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140160
Location1045 West Stephenson StreetFreeport, IL 61032 · Stephenson County
Emergency services Birthing friendly

Uw Health

Acute Care Hospitals · Rockford, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140228
Location1401 East State StreetRockford, IL 61104 · Winnebago County
Emergency services Birthing friendly
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450044
Location6201 Harry Hines BlvdDallas, TX 75390 · Dallas County
Emergency services Birthing friendly

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.

DR. WIESLAW J. PODLASEK M.D.
Anesthesiology
2202 HARLEM ROAD
LOVES PARK, IL 61111
Winnebago County (815) 877-4848
MR. NATHANIEL SCHWARTZ CRNA
Nurse Anesthetist, Certified Registered
2202 HARLEM ROAD, SUITE 200
LOVES PARK, IL 61111
Winnebago County (815) 877-4848
MS. ESTHER R FEDER CRNA
Nurse Anesthetist, Certified Registered
2202 HARLEM ROAD
LOVES PARK, IL 61111
Winnebago County (815) 877-4848
ALEXANDER CHAIKIN MD
Anesthesiology
2202 HARLEM ROAD, SUITE 200
LOVES PARK, IL 61111
Winnebago County (815) 877-4848
MR. LOWELL S. WILLS CRNA
Nurse Anesthetist, Certified Registered
2202 HARLEM ROAD, SUITE 200
LOVES PARK, IL 61111
Winnebago County (815) 877-4848
CHRISTINA M CRUZ M.D.
Anesthesiology
2202 HARLEM ROAD, SUITE 200
LOVES PARK, IL 61111
Winnebago County (815) 877-4848
SUZANNE STEIN CRNA
Nurse Anesthetist, Certified Registered
2202 HARLEM ROAD
LOVES PARK, IL 61111
Winnebago County (815) 877-4848
JONI D. SMITH CRNA
Nurse Anesthetist, Certified Registered
2202 HARLEM ROAD
LOVES PARK, IL 61111
Winnebago County (815) 877-4848

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 Ibrahim's NPI number?

The NPI number for Ibrahim Ibrahim is 1912562422. It was assigned to this individual provider in the NPPES registry on May 9, 2019.

Where is Ibrahim Ibrahim located?

Ibrahim Ibrahim practices at 2202 Harlem Road Suite 200, Loves Park, IL 61111. The listed phone number is (815) 877-4848.

What is Ibrahim Ibrahim's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Ibrahim Ibrahim enrolled in Medicare?

Yes. Ibrahim 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.

Is Ibrahim Ibrahim affiliated with any hospitals?

According to CMS data, Ibrahim Ibrahim is affiliated with Fhn Memorial Hospital, Uw Health and Ut Southwestern University Hospital - William P. Clements Jr..

When was this NPI record last updated?

The NPPES record for Ibrahim Ibrahim was last updated on September 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.