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SULAFA EISA MOHAMMED IBRAHIM
NPI 1912679515
Student in an Organized Health Care Education/Training Program in Hartford, CT

Active since October 01, 2021PECOS Enrolled
80 SEYMOUR ST, HARTFORD, CT 06102(860) 972-6113 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 11, 2025, Oct 1, 2021 (2 updates tracked since 2021).

About Sulafa Eisa Mohammed Ibrahim NPPES

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

SULAFA EISA MOHAMMED IBRAHIM (NPI 1912679515) is an individual student in an organized health care education/training program in Hartford, Connecticut and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912679515
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSULAFA EISA MOHAMMED IBRAHIM
Location Address80 SEYMOUR STHartford, CT 06102-8000
Mailing AddressBaystate Medical Center 759 Chestnut StreetSpringfield, MA 01199-0001 · (413) 794-0000
Phone(860) 972-6113
Sole ProprietorNo
Enumeration DateOctober 1, 2021
Last NPPES UpdateJune 11, 20252 updates tracked since enumeration
NPPES CertifiedJune 11, 2025
✔ NPI 1912679515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
80 SEYMOUR ST, Hartford, CT 06102
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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 (PECOS)

Sulafa Eisa Mohammed Ibrahim 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.

SUPARNA DUTTA M.D.
Internal Medicine
80 SEYMOUR ST
HARTFORD, CT 06102
Capitol Planning Region (860) 972-2085
ANN T ZOGBAUM RD
Dietitian, Registered
80 SEYMOUR ST
HARTFORD, CT 06102
Capitol Planning Region (860) 545-2697
DR. NISHA DHANABALSAMY MBBS
Internal Medicine
80 SEYMOUR ST
HARTFORD, CT 06102
Capitol Planning Region (860) 972-0549
MATTHEW BAXTER PA
Physician Assistant (Surgical)
80 SEYMOUR ST
HARTFORD, CT 06102
Capitol Planning Region (860) 545-5000
ALISON COUTURE WYSE CRNA
Nurse Anesthetist, Certified Registered
80 SEYMOUR ST
HARTFORD, CT 06102
Capitol Planning Region (860) 545-5000
ALICE DIFRANCESCO MD
Anesthesiology
80 SEYMOUR ST
HARTFORD, CT 06102
Capitol Planning Region (860) 545-5000
MICHELLE MAY ROE APRN
Nurse Practitioner (Family)
80 SEYMOUR ST
HARTFORD, CT 06102
Capitol Planning Region (860) 972-2824
DR. VESAL YAGHOOBI MD
Student in an Organized Health Care Education/Training Program
80 SEYMOUR ST
HARTFORD, CT 06102
Capitol Planning Region (860) 972-6113

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 Sulafa Ibrahim's NPI number?

The NPI number for Sulafa Ibrahim is 1912679515. It was assigned to this individual provider in the NPPES registry on October 1, 2021.

Where is Sulafa Ibrahim located?

Sulafa Ibrahim practices at 80 Seymour St, Hartford, CT 06102. The listed phone number is (860) 972-6113.

What is Sulafa Ibrahim's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Sulafa Ibrahim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Sulafa Ibrahim was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.