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HASSAN IBRAHIM PMH NP
NPI 1992415327
Student in an Organized Health Care Education/Training Program in Woodside, NY

Active since November 28, 2022PECOS Enrolled
5611 30TH AVE, WOODSIDE, NY 11377(646) 761-9279 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 9, 2025, Nov 28, 2022 (2 updates tracked since 2022).

About Hassan Ibrahim Pmh Np NPPES

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

HASSAN IBRAHIM PMH NP (NPI 1992415327) is an individual student in an organized health care education/training program in Woodside, New York and active in the NPI registry since November 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992415327
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameHASSAN IBRAHIMCredential: PMH NP
Location Address5611 30TH AVEWoodside, NY 11377-7956
Mailing Address5611 30th AveWoodside, NY 11377-7956 · (646) 761-9279
Phone(646) 761-9279
Sole ProprietorYes
Enumeration DateNovember 28, 2022
Last NPPES UpdateApril 9, 20252 updates tracked since enumeration
NPPES CertifiedApril 9, 2025
✔ NPI 1992415327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 404631 (NY)
5611 30TH AVE, Woodside, NY 11377
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hassan Ibrahim Pmh Np 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Hassan Ibrahim reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Astoria Mind Inc
1.2 mi
Psychiatric/Mental Health
2001 37TH ST
Astoria, NY 11105
  • Reassigned Medicare billing, New York enrollment
  • 2 clinicians in this Medicare group
NPI 1699463190 (929) 801-1540
Mental Health Specialty Group PA
426 mi
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, New York enrollment
  • 144 clinicians in this Medicare group
NPI 1801472634 (323) 205-7088
Grow Healthcare Group PA
1,094 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, New York enrollment
  • 867 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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

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 Hassan Ibrahim's NPI number?

The NPI number for Hassan Ibrahim is 1992415327. It was assigned to this individual provider in the NPPES registry on November 28, 2022.

Where is Hassan Ibrahim located?

Hassan Ibrahim practices at 5611 30th Ave, Woodside, NY 11377. The listed phone number is (646) 761-9279.

What is Hassan 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 Hassan Ibrahim enrolled in Medicare?

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

Which organizations bill Medicare for Hassan Ibrahim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hassan Ibrahim reassigns Medicare benefits to 3 organizations: Astoria Mind Inc (Astoria, NY), Mental Health Specialty Group PA (Durham, NC) and Grow Healthcare Group PA (Miami, FL). 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 Hassan Ibrahim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Hassan Ibrahim was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.