Dr David Ibrahim, MD - Medicare Family Practice in Decatur, IL

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Dr David Ibrahim, MD is a medicare enrolled "Family Medicine" physician in Decatur, Illinois. He graduated from medical school in 2013 and has 13 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice 24 On Physicians Pc, Decatur Memorial Hospital, University Of Alabama At Birmingham, Hospital Physician Services - Southeast Professional Corporation and his current practice location is 250 W Kenwood Ave, Decatur, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 872-3800.

Dr David Ibrahim is licensed to practice in Illinois (license number 125-065414) 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 1225443542.

Contact Information

Dr David Ibrahim, MD
250 W Kenwood Ave,
Decatur, IL 62526-4371
(217) 872-3800
(217) 872-0849

Map and Direction




Physician's Profile

Full NameDr David Ibrahim
GenderMale
SpecialityFamily Practice
Experience13 Years
Location250 W Kenwood Ave, Decatur, Illinois
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:
  • Dr David Ibrahim graduated from medical school in 2013
  NPI Data:
  • NPI Number: 1225443542
  • Provider Enumeration Date: 06/25/2014
  • Last Update Date: 06/25/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 0345465118
  • Enrollment ID: I20170809000149

Medical Identifiers

Medical identifiers for Dr David Ibrahim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225443542NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 125-065414 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Southerncare New Beacon - JasperJasper, ALHospice
Baptist Medical Center EastMontgomery, ALHospital
Vaughan Regional Medical Center Parkway CampusSelma, ALHospital
Southern Illinois Hospital Services Dba Herrin HospitalHerrin, ILHospital
Prattville Baptist HospitalPrattville, ALHospital
Decatur Memorial HospitalDecatur, ILHospital
Park PlaceSelma, ALNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
24 On Physicians Pc5698688141239
Decatur Memorial Hospital6204731144155
University Of Alabama At Birmingham377948797071
Hospital Physician Services - Southeast Professional Corporation5597774554662

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 David Ibrahim allows following entities to bill medicare on his behalf.
Entity NameDecatur Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164477725
PECOS PAC ID: 6204731144
Enrollment ID: O20031203000685
Entity NameTaylorville Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518170729
PECOS PAC ID: 8022914704
Enrollment ID: O20031211001049
Entity Name24 On Physicians Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346480431
PECOS PAC ID: 5698688141
Enrollment ID: O20090609000389
Entity NameIntegritas Emergency Physician Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790128817
PECOS PAC ID: 7113167446
Enrollment ID: O20130710000760
Entity NameGranite City Hospitalist Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669926424
PECOS PAC ID: 8527356591
Enrollment ID: O20161006000282

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 David 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
Dr David Ibrahim, MD
250 W Kenwood Ave,
Decatur, IL 62526-4371

Ph: (217) 872-3800		Dr David Ibrahim, MD
250 W Kenwood Ave,
Decatur, IL 62526-4371

Ph: (217) 872-3800

Reviews and Comments


Family Medicine Doctors in Decatur, IL

Dr. Saranya Tharmakulasingam, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 102 W Kenwood Ave Ste 100, Decatur, IL 62526
Phone: 217-872-3800    Fax: 217-872-0849
Mehrdad Jelodar, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 102 W Kenwood Ave Ste 100, Decatur, IL 62526
Phone: 217-872-3811    Fax: 217-872-0849
Dr. Mohammed J Ahmed, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 102 W Kenwood Ave Ste 100, Decatur, IL 62526
Phone: 217-872-3800    Fax: 217-872-0849
Dr. Amna Karim, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 102 W Kenwood Ave Ste 100, Decatur, IL 62526
Phone: 217-872-3800    Fax: 217-872-0849
Dr. Brooke Nicole Ballard, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 320 E Central Ave, Decatur, IL 62521
Phone: 217-877-9117    Fax: 217-864-2449
Dr. Mohammud Baleegh, D.O.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 102 W Kenwood Ave Ste 100, Decatur, IL 62526
Phone: 217-872-3800    Fax: 217-872-0849
Amisha Kamath, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 250 W Kenwood Ave, Decatur, IL 62526
Phone: 217-872-3800    Fax: 217-872-0849

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.