Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1174287601 Deactivated / Inactive NPI Male Practitioner

Baraka Abdow Ibrahim

Supports Brokerage • Lees Summit, MO

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Baraka Ibrahim has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 30, 2021
NPI Deactivation Date January 11, 2026
Total Practice Duration ~5 Years of Practice (2021 – 2026)

Professional Overview & Biography Verified Profile Summary

Baraka Ibrahim was a registered Supports Brokerage practicing in Lees Summit, MO. Throughout an active medical career spanning 5 years, Baraka Ibrahim provided care at the practice location at 2212 SW DEER RUN CT until profile deactivation on 2026-01-11.

Practice Location & Contact Primary Location

Practice Address

2212 Sw Deer Run Ct

Lees Summit, MO 640827829

Telephone 6124339003
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Supports Brokerage in Lees Summit, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Lees Summit, MO (1 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Supports Brokerage Primary Specialty

NUCC Taxonomy Code: 251X00000X

A provider of service/function that assists participating individuals to make informed decisions about what will work best for them is consistent with their needs and reflects their individual circumstances. Serving as the agent of the individual, the service is available to assist in identifying immediate and long-term needs, developing options to meet those needs and accessing identified supports and services and may include assistance with recruiting, screening, hiring, and training in-home support providers. A family or person-centered planning approach is used. Supports Brokerage offers practical skills training to enable families and individuals to remain independent. Examples of skills training include providing information on recruiting and hiring personal care workers, managing personal care workers and providing information on effective communication and problem solving. The service/function provides sufficient information to assure that individuals understand the responsibilities involved with self-direction and assist in the development of an effective back-up and emergency plan. Plans may elect to fulfill the requirement of this service/function using a self-directed case manager or creating a distinct service. The Supports Brokerage documents the need for assistive services, planning for and documenting the use of excess funds and locating and maintaining services.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated January 11, 2026

Record deactivated on January 11, 2026

NPI Profile Active October 30, 2021

NPI status registered as active in NPPES database

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Updated Practice Location October 30, 2021

Registered at 2212 SW DEER RUN CT, LEES SUMMIT, MO 640827829 (Tel: 6124339003)

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Updated Business Mailing Address October 30, 2021

Registered at 2212 SW DEER RUN CT, LEES SUMMIT, MO 640827829 (Tel: 6124339003)

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Provider Name / Credentials Updated October 30, 2021

Recorded as BARAKA IBRAHIM

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2021

Supports Brokerage

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Initial NPI Registration & Enumeration October 30, 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: 1174287601
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 30, 2021
Last Update: October 30, 2021
Deactivation Date: January 11, 2026

Mailing Address

2212 Sw Deer Run Ct

Lees Summit, MO 640827829

Phone: 6124339003

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.