Dr Mohd Elmugtaba Mutasim Ibrahim, MD in Baltimore, MD

Dr Mohd Elmugtaba Mutasim Ibrahim, MD is a medicare enrolled "Internal Medicine" physician in Baltimore, Maryland. His current practice location is 4940 Eastern Ave, Baltimore, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 550-0100.

Dr Mohd Elmugtaba Mutasim Ibrahim is licensed to practice in Maryland (license number D94361) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1598297723.

Contact Information

	Dr Mohd Elmugtaba Mutasim Ibrahim, MD
	4940 Eastern Ave, Baltimore, MD 21224-2735
	(410) 550-0100
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Mohd Elmugtaba Mutasim Ibrahim
Gender	Male
Speciality	Internal Medicine
Location	4940 Eastern Ave, Baltimore, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598297723
Provider Enumeration Date: 03/28/2017
Last Update Date: 05/07/2024

Medicare PECOS Information:

PECOS PAC ID: 4981083854
Enrollment ID: I20220623001044

Medical Identifiers

Medical identifiers for Dr Mohd Elmugtaba Mutasim Ibrahim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598297723	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208M00000X	Hospitalist	D94361 (Maryland)	Secondary
207R00000X	Internal Medicine	D94361 (Maryland)	Primary

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 Mohd Elmugtaba Mutasim Ibrahim allows following entities to bill medicare on his behalf.

Entity Name	Johns Hopkins University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922008549 PECOS PAC ID: 8921903147 Enrollment ID: O20031215000719

Entity Name	Johns Hopkins University
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1902332133 PECOS PAC ID: 4981745098 Enrollment ID: O20170818000085

Entity Name	Johns Hopkins University
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1225883648 PECOS PAC ID: 1052223229 Enrollment ID: O20240521000071

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 Mohd Elmugtaba Mutasim 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 Mohd Elmugtaba Mutasim Ibrahim, MD 6201 Greenleigh Ave, Middle River, MD 21220-2004 Ph: (410) 933-6423	Dr Mohd Elmugtaba Mutasim Ibrahim, MD 4940 Eastern Ave, Baltimore, MD 21224-2735 Ph: (410) 550-0100

Reviews and Comments

Internal Medicine Doctors in Baltimore, MD

Dr. Leonard Anang Sowah, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 22 S Greene St, Baltimore, MD 21201 Phone: 410-706-4619 Fax: 410-706-2062
Dr. Bhavandeep Singh Bajaj, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3345 Wilkens Avenue, Suite L10, Baltimore, MD 21229 Phone: 410-644-4444 Fax: 410-644-4484
Dr. Yonas Sisay, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 822 Guilford Ave, #100, Baltimore, MD 21202 Phone: 410-385-9672
Dr. Stephen John Witanowski, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2700 Quarry Lake Dr, Suite 280, Baltimore, MD 21209 Phone: 410-469-5544 Fax: 410-585-2867
Dr. Susrutha Kotwal, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4940 Eastern Ave, Mfl Bldg, West Tower, 6th Floor, Baltimore, MD 21224 Phone: 410-550-5018
Dr. Mitesh G Trambadia, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 6701 N Charles St Ste 5218, Baltimore, MD 21204 Phone: 443-849-3786
Ronak K Patel, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 E University Pkwy, Baltimore, MD 21218 Phone: 410-554-2000

Dr Mohd Elmugtaba Mutasim Ibrahim, MD - Medicare Internal Medicine in Baltimore, MD