DR. ADEL IBRAHIM
NPI 1609314905
Internal Medicine in Sacramento, CA
NPI Status: Active since February 07, 2017
- Individual
- Male
- Years of Experience 19
- Internal Medicine
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About ADEL IBRAHIM
This page provides the complete NPI Profile along with additional information for Adel Ibrahim, an internist established in Sacramento, California with a medical specialization in Internal Medicine and more than 19 years of experience. The healthcare provider is registered in the NPI registry with number 1609314905 assigned on February 2017. The practitioner's primary taxonomy code is 207R00000X with license number 169484 (CA). The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1609314905
- Provider Name
- DR. ADEL IBRAHIM
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 6339 MACK RD SACRAMENTO, CA 95823
- Location Phone
- (916) 454-2345
- Mailing Address
- 1860 HOWE AVE STE 440 SACRAMENTO, CA 95825
- Mailing Phone
- (916) 569-8484
- Medical School Name
- OTHER
- Graduation Year
- 2007
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 02-07-2017
- Last Update Date
- 07-09-2021
- Code Navigator
An internist like Adel Ibrahim is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 169484
- License State
- CA
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 4 - HMO
- Bronze 8 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- Silver 9 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Adel Ibrahim is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Adel Ibrahim is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 1850794447
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20210720001694
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Other DME (DE001N)
Continuous positive airway pressure (cpap) device (HCPCS:E0601)
2 DME suppliers used 12 Medicare Claims 12 Services Paid
Physician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $34.3 for a new patient copayment and $26.48 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 95823 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $137.2
- Minimum New Patient Price $60.44
- Maximum New Patient Price $180.85
- Average New Patient Copayment $34.3
- Minimum New Patient Copayment $15.11
- Maximum New Patient Copayment $45.21
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $105.95
- Minimum Established Patient Price $19.88
- Maximum Established Patient Price $148.15
- Average Established Patient Copayment $26.48
- Minimum Established Patient Copayment $4.97
- Maximum Established Patient Copayment $37.03
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 6 | 0 | 9 | 3 | 1 | 4 | 9 | 0 | 5 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 6 | 0 | 9 | 6 | 1 | 8 | 9 | 0 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 6 + 0 + 9 + 6 + 1 + 8 + 9 + 0 + 24 = 65 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 65 = 5 | 5 |
The NPI number 1609314905 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 18 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1699153858 | JOSEPH M MOLINA MD PROFESSIONAL CORPORATION SOUTHERN CALIFORNIA Organization | Non-Pharmacy Dispensing Site | 6339 MACK RD SACRAMENTO, CA 95823 (916) 585-7912 |
1871823237 | KAO YANG LEE NP-BC Individual | Nurse Practitioner | 6339 MACK RD SACRAMENTO, CA 95823 (916) 585-7912 |
1033243001 | ADRIENNE EUSEBIO WOLOWODIUK LCSW Individual | Social Worker | 6339 MACK RD SACRAMENTO, CA 95823 (562) 499-6191 |
1316339930 | SUZARIE VAN SPENCE FNP Individual | Nurse Practitioner (Family) | 6339 MACK RD SACRAMENTO, CA 95823 (916) 585-7912 |
1770098188 | MOLINA HEALTHCARE OF CALIFORNA Organization | Family Medicine | 6339 MACK RD SACRAMENTO, CA 95823 (916) 585-7912 |
1417360686 | JOSEPH M MOLINA MD PROFESSIONAL CORPORATION-SOUTHERN CALIFORNIA Organization | Family Medicine | 6339 MACK RD SACRAMENTO, CA 95823 (916) 585-7912 |
1154947711 | ELICA HEALTH CENTERS Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 6339 MACK RD SACRAMENTO, CA 95823 (916) 454-2345 |
1174638068 | DR. CHARLES IVERSON HOOPER D.O. Individual | Family Medicine | 6339 MACK RD SACRAMENTO, CA 95823 (916) 454-2345 |
1710369657 | MARGARET THARYNA GERMAN DE LA CRUZ M.D. Individual | Pediatrics | 6339 MACK RD SACRAMENTO, CA 95823 (916) 454-2345 |
1821728627 | GAGANDEEP BADWAL FNP Individual | Nurse Practitioner | 6339 MACK RD SACRAMENTO, CA 95823 (916) 454-2345 |
1700506235 | NUBIA A RAMIREZ Individual | Counselor | 6339 MACK RD SACRAMENTO, CA 95823 (916) 454-2345 |
1508934860 | EDWIN G VENTOCILLA PA-C Individual | Physician Assistant | 6339 MACK RD SACRAMENTO, CA 95823 (916) 454-2345 |
1366801193 | MRS. ASHLEY MARIE ONGJOCO Individual | Nurse Practitioner | 6339 MACK RD SACRAMENTO, CA 95823 (916) 454-2345 |
1043622517 | DR. TERRENCE PATRICK REIFF D.D.S. Individual | Dentist | 6339 MACK RD SACRAMENTO, CA 95823 (916) 454-2345 |
1336604727 | DR. ROBERT F DUFRESNE DDS Individual | Dentist | 6339 MACK RD SACRAMENTO, CA 95823 (916) 454-2345 |
1659135184 | DR. SHAROON S LATA DDS Individual | Dentist | 6339 MACK RD SACRAMENTO, CA 95823 (916) 454-2345 |
1447696380 | MANPREET KAUR D.M.D. Individual | Dentist (General Practice) | 6339 MACK RD SACRAMENTO, CA 95823 (916) 454-2345 |
1518793165 | DALISSA XITLALI CUEVAS Individual | Health Educator | 6339 MACK RD SACRAMENTO, CA 95823 (916) 454-2345 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609314905, enumerated in the NPI registry as an "individual" on February 07, 2017
The provider is located at 6339 Mack Rd Sacramento, Ca 95823 and the phone number is (916) 454-2345
The provider's speciality is Internal Medicine with taxonomy code 207R00000X
The provider has more than 19 years of experience.
The provider might be accepting Accepts: Molina Healthcare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $137.2 with an average copayment of $34.3 for new patient appointments. Established patients should expect a typical charge of $105.95 and an average copayment of 26.48. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on February 07, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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