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: July 19, 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
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

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

Medicare Participation & PECOS Enrollment Status

Sulafa Ibrahim is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: Yes

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Emergency Medicine
80 SEYMOUR ST, HARTFORD HOSPITAL TRAUMA PROGRAM
HARTFORD, CT 06102
Radiology (Radiation Oncology)
80 SEYMOUR ST, HARTFORD HOSPITAL THE GRAY CANCER CENTER
HARTFORD, CT 06102
Radiology (Radiation Oncology)
80 SEYMOUR ST
HARTFORD, CT 06102
Radiology (Radiation Oncology)
80 SEYMOUR ST
HARTFORD, CT 06102
Radiology (Radiation Oncology)
80 SEYMOUR ST
HARTFORD, CT 06102
Radiology (Radiation Oncology)
80 SEYMOUR ST
HARTFORD, CT 06102
Surgery (Surgical Critical Care)
80 SEYMOUR ST, HARTFORD HOSPITAL TRAUMA DEPT
HARTFORD, CT 06102
Pathology (Anatomic Pathology & Clinical Pathology)
80 SEYMOUR ST
HARTFORD, CT 06102
Orthopaedic Surgery
80 SEYMOUR ST, HARTFORD HOSPITAL
HARTFORD, CT 06102
Surgery
80 SEYMOUR ST, HARTFORD HOSPITAL PROFESSIONAL SERVICES
HARTFORD, CT 06102
Physician Assistant
80 SEYMOUR ST, HARTFORD HOSPITAL SURGERY DEPT
HARTFORD, CT 06102
Obstetrics & Gynecology
80 SEYMOUR ST, HARTFORD HOSPITAL UROGYNECOLOGY DEPT
HARTFORD, CT 06102
Internal Medicine
80 SEYMOUR ST, HARTFORD HOSPITAL CARDIOLOGY DEPT
HARTFORD, CT 06102
Obstetrics & Gynecology
80 SEYMOUR ST, HARTFORD HOSPITAL OBGYN DEPT
HARTFORD, CT 06102
Obstetrics & Gynecology (Gynecologic Oncology)
80 SEYMOUR ST, HARTFORD HOSPITAL GYNONCOLOGY DEPT
HARTFORD, CT 06102
Physical Medicine & Rehabilitation
80 SEYMOUR ST, HARTFORD HOSPITAL REHABILITATION DEPT
HARTFORD, CT 06102
Durable Medical Equipment & Medical Supplies
80 SEYMOUR ST
HARTFORD, CT 06102
Internal Medicine
80 SEYMOUR ST, HARTFORD HOSPITAL GENERAL MEDICINE
HARTFORD, CT 06102
Counselor (Professional)
80 SEYMOUR ST, HARTFORD HOSPITAL PREVENTIVE CARDIOLOGY
HARTFORD, CT 06102
Physician Assistant
80 SEYMOUR ST, HARTFORD HOSPITAL ORTHOPEDICS DEPT
HARTFORD, CT 06102

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912679515, enumerated as an "individual" on October 01, 2021.

The provider is located at 80 SEYMOUR ST HARTFORD, CT 06102 and the phone number is (860) 972-6113.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.