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IBRAHIM DAGHER
NPI 1992238745
Psychiatry & Neurology - Psychiatry in Los Angeles, CA

Active since April 08, 2017PECOS EnrolledAccepts Medicare Assignment
12301 WILSHIRE BLVD STE 512, LOS ANGELES, CA 90025(313) 207-8399 Get Directions Write a Review

NPPES record last updated: September 30, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 30, 2021, Jul 21, 2020, Jun 24, 2018 (3 updates tracked since 2018).

About Ibrahim Dagher NPPES

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

IBRAHIM DAGHER (NPI 1992238745) is an individual psychiatry provider in Los Angeles, California, licensed in Michigan (5101024488) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph Mercy Livingston Hospital, and is a graduate of Campbell Univ School Of Osteopathic Medicine (2017).

NPPES Registry Identity

NPI1992238745
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameIBRAHIM DAGHER
Location Address12301 WILSHIRE BLVD STE 512Los Angeles, CA 90025-1053
Mailing Address12301 Wilshire Blvd Ste 512Los Angeles, CA 90025-1053 · (313) 207-8399 · Fax (323) 366-2966
Phone(313) 207-8399
Sole ProprietorNo
Medical School CMSCampbell Univ School Of Osteopathic MedicineGraduated 2017
Enumeration DateApril 8, 2017
Last NPPES UpdateSeptember 30, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2021
✔ NPI 1992238745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in MI · 5101024488
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
12301 WILSHIRE BLVD STE 512, Los Angeles, CA 90025
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Cigna Healthcare, Cigna HealthCare of Florida, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ibrahim Dagher 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 ID2163898453
PECOS Enrollment IDI20221011001386
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Ibrahim Dagher reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mellow Medical Inc A Professional Corporation
6.7 mi
Psychiatry
8235 SANTA MONICA BLVD, SUITE 300
West Hollywood, CA 90046
  • Reassigned Medicare billing, California enrollment
  • 204 clinicians in this Medicare group
NPI 1407275886 (310) 892-4284
Livingston County Community Mental Health Authority
1,953 mi
Community/Behavioral Health
2280 E GRAND RIVER AVE
Howell, MI 48843
  • Reassigned Medicare billing, Michigan enrollment
  • 21 clinicians in this Medicare group
NPI 1346313731 (517) 546-4126

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.
457 services96 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
194 services36 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
87 services39 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

Saint Joseph Mercy Livingston Hospital

Acute Care Hospitals · Howell, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230069
Location620 Byron RdHowell, MI 48843 · Livingston County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90025 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

NATALIE PANARO PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
12301 WILSHIRE BLVD STE 512
LOS ANGELES, CA 90025
Los Angeles County (888) 684-2779
MEGAN FAYE WESTBROOK PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
12301 WILSHIRE BLVD STE 512
LOS ANGELES, CA 90025
Los Angeles County (818) 441-8332
CARY L SANDERS
Counselor (Professional)
12301 WILSHIRE BLVD STE 512
LOS ANGELES, CA 90025
Los Angeles County (888) 684-2779
JONATHAN MARS MD
Psychiatry & Neurology (Psychiatry)
12301 WILSHIRE BLVD STE 512
LOS ANGELES, CA 90025
Los Angeles County (888) 684-2779
MR. JUSTIN SCOTT ROBERTS PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
12301 WILSHIRE BLVD STE 512
LOS ANGELES, CA 90025
Los Angeles County (888) 684-2779
DR. SARAH HOLLANDER MD
Psychiatry & Neurology (Psychiatry)
12301 WILSHIRE BLVD STE 512
LOS ANGELES, CA 90025
Los Angeles County (888) 684-2779
SEE WON CHUNG NP
Nurse Practitioner (Psychiatric/Mental Health)
12301 WILSHIRE BLVD STE 512
LOS ANGELES, CA 90025
Los Angeles County (310) 321-8089
MRS. SUMMER RHIANNON HOLDEN PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
12301 WILSHIRE BLVD STE 512
LOS ANGELES, CA 90025
Los Angeles County (888) 684-2779

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 Dagher's NPI number?

The NPI number for Ibrahim Dagher is 1992238745. It was assigned to this individual provider in the NPPES registry on April 8, 2017.

Where is Ibrahim Dagher located?

Ibrahim Dagher practices at 12301 Wilshire Blvd Ste 512, Los Angeles, CA 90025. The listed phone number is (313) 207-8399.

What is Ibrahim Dagher's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Ibrahim Dagher enrolled in Medicare?

Yes. Ibrahim Dagher 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.

Which organizations bill Medicare for Ibrahim Dagher's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ibrahim Dagher reassigns Medicare benefits to 2 organizations: Mellow Medical Inc A Professional Corporation (West Hollywood, CA) and Livingston County Community Mental Health Authority (Howell, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ibrahim Dagher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ibrahim Dagher accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Ibrahim Dagher 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 Ibrahim Dagher affiliated with any hospitals?

According to CMS data, Ibrahim Dagher is affiliated with Saint Joseph Mercy Livingston Hospital.

When was this NPI record last updated?

The NPPES record for Ibrahim Dagher was last updated on September 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.