Dr Saman Ibrahim, MD | |
15945 Clayton Rd, Ballwin, MO 63011-2490 | |
(636) 256-5321 | |
(636) 256-5343 |
Full Name | Dr Saman Ibrahim |
---|---|
Gender | Female |
Speciality | Diagnostic Radiology |
Experience | 18 Years |
Location | 15945 Clayton Rd, Ballwin, Missouri |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730451576 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 2015008871 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Macon Community Hospital | Lafayette, TN | Hospital |
Lecom Health Corry Memorial Hospital | Corry, PA | Hospital |
Henry County Medical Center | Paris, TN | Hospital |
Meadville Medical Center | Meadville, PA | Hospital |
Salem Memorial District Hospital | Salem, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Memphis Physicians Radiological Group Pc | 9830123736 | 26 |
Savannah Chatham Imaging Llc | 6800890245 | 28 |
Usa Radiology Management Solutions Llc | 3577780337 | 22 |
Usa Radiology Of Pennsylvania Llc | 0345594388 | 21 |
Vanderbilt University Medical Center | 5092023416 | 2711 |
Memphis Physicians Radiological Group Pc | 9830123736 | 26 |
Vanderbilt University Medical Center | 5092023416 | 2711 |
Entity Name | West County Radiological Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477500585 PECOS PAC ID: 8527966944 Enrollment ID: O20031223000255 |
Entity Name | West County Radiological Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477500585 PECOS PAC ID: 8527966944 Enrollment ID: O20040326000180 |
Entity Name | Pemiscot County Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437251881 PECOS PAC ID: 8426024159 Enrollment ID: O20051005000137 |
Entity Name | Pemiscot County Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578668661 PECOS PAC ID: 8426024159 Enrollment ID: O20070326000204 |
Entity Name | Usa Radiology Management Solutions Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689091076 PECOS PAC ID: 3577780337 Enrollment ID: O20141024001746 |
Entity Name | Usa Radiology Of Pennsylvania Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164907655 PECOS PAC ID: 0345594388 Enrollment ID: O20190129002903 |
Entity Name | Medical Imaging Consultants, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801873708 PECOS PAC ID: 2769405471 Enrollment ID: O20200327001535 |
Entity Name | Savannah Chatham Imaging Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992721278 PECOS PAC ID: 6800890245 Enrollment ID: O20200505001065 |
Entity Name | Memphis Physicians Radiological Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134231574 PECOS PAC ID: 9830123736 Enrollment ID: O20230712000807 |
Entity Name | Vanderbilt University Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104202761 PECOS PAC ID: 5092023416 Enrollment ID: O20230731002509 |
Mailing Address | Practice Location Address |
---|---|
Dr Saman Ibrahim, MD 920 Twin Pine Dr, Saint Louis, MO 63131-4322 Ph: (312) 593-1560 | Dr Saman Ibrahim, MD 15945 Clayton Rd, Ballwin, MO 63011-2490 Ph: (636) 256-5321 |