| Moh'd Jibreel, MD | |
|
1400 S Dobson Road, Mesa, AZ 85202 | |
| (480) 412-6788 | |
| (480) 412-6848 |
| Full Name | Moh'd Jibreel |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 26 Years |
| Location | 1400 S Dobson Road, Mesa, Arizona |
| 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 |
|---|---|---|---|
| 1225267156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD213971 (Oregon) | Primary |
| 207R00000X | Internal Medicine | 45674 (Arizona) | Secondary |
| 208M00000X | Hospitalist | 45674 (Arizona) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Santa Clara Valley Medical Center | San jose, CA | Hospital |
| Good Samaritan Hospital | San jose, CA | Hospital |
| Banner - University Medical Center Phoenix | Phoenix, AZ | Hospital |
| Banner Desert Medical Center | Mesa, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Banner - University Hospital Based Physicians Llc | 1052614294 | 343 |
| Banner Hospital Based Physicians Arizona Llc | 3274782487 | 636 |
| Quantum Bay Area Hospitalist Medical Group Inc | 0648573378 | 60 |
| County Of Santa Clara | 1254244973 | 1000 |
| Entity Name | Dvma LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194893800 PECOS PAC ID: 0941302053 Enrollment ID: O20070220000711 |
| Entity Name | Banner Cancer Center Specialists LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518253152 PECOS PAC ID: 6103097779 Enrollment ID: O20110913000224 |
| Entity Name | Cogent Healthcare of Arizona PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568758266 PECOS PAC ID: 0648441006 Enrollment ID: O20110915000843 |
| Entity Name | Banner Physician Specialists Arizona LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821368218 PECOS PAC ID: 6204002272 Enrollment ID: O20111222000509 |
| Entity Name | Banner Hospital Based Physicians Arizona LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275889891 PECOS PAC ID: 3274782487 Enrollment ID: O20121003000752 |
| Entity Name | Banner - University Hospital Based Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750751566 PECOS PAC ID: 1052614294 Enrollment ID: O20160122000508 |
| Entity Name | Vituity - Arizona Hospitalists PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770109704 PECOS PAC ID: 5395163745 Enrollment ID: O20200916002069 |
| Mailing Address | Practice Location Address |
|---|---|
| Moh'd Jibreel, MD 1400 S Dobson Road, Attn Bmg Hospitalist Team/ Amanda Gump, Mesa, AZ 85202 Ph: (480) 412-6788 | Moh'd Jibreel, MD 1400 S Dobson Road, Mesa, AZ 85202 Ph: (480) 412-6788 |
Ankur Panchal, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6424 E Broadway Rd Ste 105, Mesa, AZ 85206 Phone: 480-733-7500 |
Yury Fomin, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 S Dobson Road, Mesa, AZ 85202 Phone: 480-412-6788 Fax: 480-412-6848 |
Gregg Alan Smith, D.O. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1042 N Higley Rd, Suite 102-602, Mesa, AZ 85205 Phone: 480-242-6297 Fax: 480-699-3129 |
Dr. Emmanuel A Bayongan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 S Dobson Rd, Mesa, AZ 85202 Phone: 480-543-2034 Fax: 480-512-6089 |
Dr. Sanjeev Gopal, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6424 E Broadway Rd, 104-105, Mesa, AZ 85206 Phone: 602-802-8700 Fax: 602-802-8799 |
Dr. Alpesh Patel, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10238 E Hampton Ave Ste 205, Mesa, AZ 85209 Phone: 480-856-8252 Fax: 470-268-9921 |
Mouhsen H Alhakeem, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 S Dobson Road, Attn Amanda Gump/hospitalist, Mesa, AZ 85202 Phone: 480-412-6788 Fax: 480-412-6848 |