Bassel B Ibrahim, MD
Internal Medicine, Interventional Cardiology in Pembroke Pines, FL. Individual provider (NPI-1).
NPI number1104863364
StatusActive
Last updated in NPPESMar 15, 2021
Details
- NPI
- 1104863364
- Entity type
- Individual (NPI-1)
- Name
- Bassel B Ibrahim
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 31, 2006
- Certification date
- Mar 15, 2021
- Last updated
- Mar 15, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CARDIOVASCULAR DISEASE (CARDIOLOGY)
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RI0011X | Internal Medicine, Interventional Cardiology | ME51232 | FL | Yes |
Practice location
603 N Flamingo Rd Ste 255Pembroke Pines, FL 33028-1013
Phone 954-265-7900 · Fax 954-981-1129
Mailing address
2900 Corporate WayDoor D
Miramar, FL 33025-3925
Phone 954-985-5685 · Fax 954-985-7074
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