Hisham Izzadin Ibrahim, MD - Medicare Nephrology in Winter Garden, FL

Hisham Izzadin Ibrahim, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Winter Garden, Florida. He graduated from medical school in 1993 and has 31 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Florida Clinical Practice Association Inc and his current practice location is 1210 E Plant St Ste 120, Winter Garden, Florida. You can reach out to his office (for appointments etc.) via phone at (407) 297-8408.

Hisham Izzadin Ibrahim is licensed to practice in Nevada (license number 17166) 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 1619918760.

Contact Information

Hisham Izzadin Ibrahim, MD
1210 E Plant St Ste 120,
Winter Garden, FL 34787-2995
(407) 297-8408
(407) 297-8408

Map and Direction




Physician's Profile

Full NameHisham Izzadin Ibrahim
GenderMale
SpecialityNephrology
Experience31 Years
Location1210 E Plant St Ste 120, Winter Garden, Florida
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Hisham Izzadin Ibrahim graduated from medical school in 1993
  NPI Data:
  • NPI Number: 1619918760
  • Provider Enumeration Date: 06/09/2006
  • Last Update Date: 03/25/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2062497217
  • Enrollment ID: I20130213000294

Medical Identifiers

Medical identifiers for Hisham Izzadin Ibrahim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619918760NPI-NPPES
ME114722OtherFLLICENSE
1619918760MedicaidNV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology 17166 (Nevada)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Uf Health Shands HospitalGainesville, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Florida Clinical Practice Association Inc03451462541622

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. Hisham Izzadin Ibrahim allows following entities to bill medicare on his behalf.
Entity NameFlorida Clinical Practice Association Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063463768
PECOS PAC ID: 0345146254
Enrollment ID: O20031211000099

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. Hisham Izzadin 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 AddressPractice Location Address
Hisham Izzadin Ibrahim, MD
3333 E Camelback Rd, Ste 180,
Phoenix, AZ 85018-2396

Ph: (602) 759-6883
Hisham Izzadin Ibrahim, MD
1210 E Plant St Ste 120,
Winter Garden, FL 34787-2995

Ph: (407) 297-8408

Reviews and Comments


Internal Medicine Doctors in Winter Garden, FL

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Dr. Eldar Bolatovich Baigabatov, M.D.
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Dr. Melba Iris Ovalle, MD
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Phone: 407-877-4075    Fax: 407-905-6940
Joel Richard Garcia, MD
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Practice Location: 2000 Fowler Grove Blvd Fl 3, Winter Garden, FL 34787
Phone: 407-889-1966    Fax: 407-889-1904

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.