Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902576150 Individual Practitioner Female Practitioner

Rose Ibrahim

Physician Assistant - Surgical • Orlando, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Rose Ibrahim is a certified Physician Assistant - Surgical practicing in Orlando, FL. With approximately 4 years of clinical experience since completing medical education in 2022, Rose Ibrahim delivers high-quality medical care to the local community at 125 W COPELAND DR.

Rose Ibrahim is affiliated with Orlando Health Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

125 W Copeland Dr

Orlando, FL 328062101

Telephone 3218417090
Fax 3218432267

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Orlando, FL

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -7.1 yrs vs City Avg
City Avg: 11.1 Yrs
State Avg: 15.3 Yrs
Regional Practice Density
193 Specialists

Practicing in Orlando, FL (1463 Statewide)

Telehealth Adoption Rate
7.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
78.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ibrahim (4 Years) 4 Yrs
Orlando Specialty Average (11.1 Years) 11.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
24 21 $551.00 $118.44

Medical Specialties & State Licenses

CMS Verified: 2024-10-11
Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License FL PA9119022

Definition to come...

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License MA PA9089

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
124041500 (FL)

Hospital & Practice Group Affiliations

Orlando Health Medical Group Inc

89 W Copeland Dr, Orlando, FL 328062002

Orlando Health Medical Group Inc

32 W Gore St, Orlando, FL 328061134

Orlando Health Medical Group Inc

22 W Underwood St, Orlando, FL 328061110

Phone: 4076485384

Orlando Health Medical Group Inc

83 W Miller St, Orlando, FL 328062031

Phone: 3218438370

Orlando Health Medical Group Inc

52 W Underwood St, Orlando, FL 328061110

Phone: 4078415111

Orlando Health Medical Group Inc

22 W Underwood St, Orlando, FL 328061110

Phone: 4076483800

Orlando Health Medical Group Inc

76 W Underwood St, Orlando, FL 328061110

Orlando Health Medical Group Inc

86 W Underwood St, Orlando, FL 328061110

Phone: 4078961100

Orlando Health Medical Group Inc

83 W Miller St, Orlando, FL 328062031

Phone: 3218418555

Secondary Practice Locations

360 Huntington Avenue, 202 Robinson Hall/pa Program

Boston, MA 02115

Phone: 6173733195

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

19 Associated Practitioners
Lauren Beyer , PA

Physician Assistant - Surgical

NPI 1023892825

Physician Assistant

Amanda Gist , PA-C

Physician Assistant - Surgical

NPI 1134907975

Physician Assistant (Certified)

Dr. James Shoukas , MD

Plastic Surgery

NPI 1306036868

Doctor of Medicine (M.D.)

Dr. Sapna Rama , DO

Internal Medicine

NPI 1316327737

Doctor of Osteopathic Medicine (D.O.)

Dr. Jurij Kiefer , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1316627474

Doctor of Medicine (M.D.)

Emily Waite , PA-C

Physician Assistant - Surgical

NPI 1316767395

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location October 16, 2024

Registered at 125 W COPELAND DR, ORLANDO, FL 328062101 (Tel: 3218417090)

📍
Updated Business Mailing Address October 16, 2024

Registered at 125 W COPELAND DR, ORLANDO, FL 32806 (Tel: 3218417090)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 16, 2024

Physician Assistant (License #PA9089 in MA)

📍
Updated Business Mailing Address December 08, 2022

Registered at 75 FRANCIS ST, BOSTON, MA 021156110 (Tel: 6177325500)

NPI Profile Active September 19, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location September 19, 2021

Registered at 360 HUNTINGTON AVENUE, 202 ROBINSON HALL/PA PROGRAM, BOSTON, MA 02115 (Tel: 6173733195)

📍
Updated Business Mailing Address September 19, 2021

Registered at 80 PIERS PARK LN APT 3506, EAST BOSTON, MA 021282895

👤
Provider Name / Credentials Updated September 19, 2021

Recorded as ROSE IBRAHIM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 19, 2021

Physician Assistant

🟢
Initial NPI Registration & Enumeration September 19, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902576150
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 19, 2021
Last Update: October 16, 2024
Sole Proprietor: No

Mailing Address

125 W Copeland Dr

Orlando, FL 32806

Phone: 3218417090

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.