Dr John Fikry Mityas Ibrahim, MD is a medicare enrolled "Hospitalist" physician in Willowbrook, Illinois. He graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Cep America-illinois Hospitalists, Llp, Galen Inpatient Physicians Pc, Galen Inpatient Physicians Pc and his current practice location is
11s513 Rachael Ct, Willowbrook, Illinois. You can reach out to his office (for appointments etc.) via phone at
(331) 214-1843.
Dr John Fikry Mityas Ibrahim is licensed to practice in Indiana (license number 01084871A) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1134675218.
Physician's Profile
Full Name | Dr John Fikry Mityas Ibrahim |
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Gender | Male |
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Speciality | Hospitalist |
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Experience | 9 Years |
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Location | 11s513 Rachael Ct, Willowbrook, Illinois |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr John Fikry Mityas Ibrahim graduated from medical school in 2015
NPI Data:
- NPI Number: 1134675218
- Provider Enumeration Date: 08/29/2016
- Last Update Date: 11/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 2264761055
- Enrollment ID: I20190903003080
Medical Identifiers
Medical identifiers for Dr John Fikry Mityas Ibrahim such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134675218 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 125069705 (Illinois) | Secondary |
207R00000X | Internal Medicine | 036147616 (Illinois) | Secondary |
208M00000X | Hospitalist | 1018-320 (Wisconsin) | Secondary |
208M00000X | Hospitalist | 036147616 (Illinois) | Secondary |
208M00000X | Hospitalist | ME151077 (Florida) | Secondary |
208M00000X | Hospitalist | 01084871A (Indiana) | Primary |
Medical Facilities Affiliation
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr John Fikry Mityas Ibrahim allows following entities to bill medicare on his behalf.
Entity Name | Inpatient Consultants Of Illinois Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1003850843 PECOS PAC ID: 9537064316 Enrollment ID: O20031204000698 |
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Entity Name | Northshore University Healthsystem Faculty Practice Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
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Entity Name | Julia Rackley Perry Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1619934833 PECOS PAC ID: 1153312798 Enrollment ID: O20040525000980 |
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Entity Name | Osf Healthcare System |
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Entity Type | Part B Supplier - Hospital Department(s) |
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Entity Identifiers | NPI Number: 1811016124 PECOS PAC ID: 4284541806 Enrollment ID: O20070504000101 |
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Entity Name | Cep America-illinois Hospitalists, Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1841613403 PECOS PAC ID: 3274765904 Enrollment ID: O20140411001788 |
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Entity Name | Miinedoctor Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1144795279 PECOS PAC ID: 7012259252 Enrollment ID: O20190508001875 |
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Entity Name | Jme Medical Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1568036879 PECOS PAC ID: 4789089590 Enrollment ID: O20210817002417 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr John Fikry Mityas Ibrahim is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr John Fikry Mityas Ibrahim, MD 11s513 Rachael Ct, Willowbrook, IL 60527-6899 Ph: (331) 214-1843 | Dr John Fikry Mityas Ibrahim, MD 11s513 Rachael Ct, Willowbrook, IL 60527-6899 Ph: (331) 214-1843 |
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