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Active NPI 1497108393 Individual Practitioner Male Practitioner

Dr. Khaled Ibrahim , MD

General Practice • Palm Coast, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Khaled Ibrahim, MD is a certified General Practice practicing in Palm Coast, FL. With approximately 33 years of clinical experience since completing medical education in 1993, Dr. Ibrahim delivers high-quality medical care to the local community at 264A PALM COAST PKWY NE.

Dr. Ibrahim 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

264a Palm Coast Pkwy Ne

Palm Coast, FL 321378217

Telephone 3864465505
Associated Practice Facility / Clinic
🏢 V.i.p Md Care Llc Facility NPI 1225456155

Medicare Profile & Education

Medical School

Other

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Palm Coast, FL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
33 Yrs +6.6 yrs vs City Avg
City Avg: 26.4 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
8 Specialists

Practicing in Palm Coast, FL (2490 Statewide)

Telehealth Adoption Rate
12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
39.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ibrahim (33 Years) 33 Yrs
Palm Coast Specialty Average (26.4 Years) 26.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
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
51 25 $204.00 $124.59
99213 Established patient office or other outpatient visit, typically 15 minutes
20 15 $147.00 $87.97

Medical Specialties & State Licenses

CMS Verified: 2026-07-07
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License FL ACN1088

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

General Practice

NUCC Taxonomy Code: 208D00000X

State License PR 19420

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Secondary Practice Locations

3691 Clyde Morris Blvd

Port Orange, FL 321292317

Phone: 3863688876

Practice Associates & Co-Workers

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

6 Associated Practitioners
NPI 1376151472

Doctor of Medicine (M.D.)

Dr. Lydia Kefalidou , MD

Internal Medicine

NPI 1508833427

Doctor of Medicine (M.D.)

Brandy Lemon , FNP-C

Nurse Practitioner - Family

NPI 1558169656

Family Nurse Practitioner (Certified)

Dr. Glenn Meyers , MD

Internal Medicine

NPI 1639319080

Doctor of Medicine (M.D.)

Robin Carr

Physician Assistant

NPI 1780341669
NPI 1912469230

Advanced Practice Registered Nurse, Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

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

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2026

General Practice (License #ACN1088 in FL)

📍
Updated Practice Location May 10, 2023

Registered at 264A PALM COAST PKWY NE, PALM COAST, FL 321378217 (Tel: 3864465505)

📍
Updated Business Mailing Address May 10, 2023

Registered at 100 ARRICOLA AVE, ST AUGUSTINE, FL 320804515 (Tel: 9048254368)

NPI Profile Active July 15, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location July 15, 2016

Registered at 404 AVE GENERAL VALERO, FAJARDO, PR 007383998 (Tel: 7876550505)

📍
Updated Business Mailing Address July 15, 2016

Registered at 404 AVE GENERAL VALERO, FAJARDO, PR 007383998 (Tel: 7876550505)

👤
Provider Name / Credentials Updated July 15, 2016

Recorded as KHALED IBRAHIM, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2016

General Practice (License #19420 in PR)

🟢
Initial NPI Registration & Enumeration July 15, 2016

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: 1497108393
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 15, 2016
Last Update: July 07, 2026
Sole Proprietor: Yes

Mailing Address

100 Arricola Ave

St Augustine, FL 320804515

Phone: 9048254368

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.