| Dr David Ibrahim, MD | |
|
250 W Kenwood Ave, Decatur, IL 62526-4371 | |
| (217) 872-3800 | |
| (217) 872-0849 |
| Full Name | Dr David Ibrahim |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 13 Years |
| Location | 250 W Kenwood Ave, Decatur, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225443542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 125-065414 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southerncare New Beacon - Jasper | Jasper, AL | Hospice |
| Baptist Medical Center East | Montgomery, AL | Hospital |
| Vaughan Regional Medical Center Parkway Campus | Selma, AL | Hospital |
| Southern Illinois Hospital Services Dba Herrin Hospital | Herrin, IL | Hospital |
| D C H Regional Medical Center | Tuscaloosa, AL | Hospital |
| Memorial Hospital Of Carbondale | Carbondale, IL | Hospital |
| Park Place | Selma, AL | Nursing home |
| Selma Health And Rehab, Llc | Selma, AL | Nursing home |
| Lighthouse Rehabilitation & Healthcare Center | Selma, AL | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Alabama At Birmingham | 3779487970 | 96 |
| Decatur Memorial Hospital | 6204731144 | 170 |
| Hospital Physician Services - Southeast Professional Corporation | 5597774554 | 801 |
| 24 On Physicians Pc | 5698688141 | 277 |
| Capstone Health Services Foundation Pc | 6103724489 | 164 |
| Entity Name | University Of Alabama At Birmingham |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184738478 PECOS PAC ID: 3779487970 Enrollment ID: O20031120000323 |
| Entity Name | Hospital Physician Services - Southeast Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760410385 PECOS PAC ID: 5597774554 Enrollment ID: O20140219000913 |
| Mailing Address | Practice 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 |
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 |