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Deactivated NPI 1083674758 Deactivated / Inactive NPI Female Practitioner

Dr. Nadia M Ibrahim , MD

Pediatrics • Monroe, NC

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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, Dr. Nadia Ibrahim has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 25, 2006
NPI Deactivation Date October 02, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Nadia Ibrahim, MD was a registered Pediatrics practicing in Monroe, NC. Throughout an active medical career spanning 14 years, Dr. Ibrahim provided care at the practice location at 404 S SUTHERLAND AVE until profile deactivation on 2020-10-02.

Practice Location & Contact Primary Location

Practice Address

404 S Sutherland Ave

Monroe, NC 281125060

Telephone 7042919267
Fax 7042250428
Associated Practice Facility / Clinic
🏢 First Care Medical Clinic, Pa Facility NPI 1689635237

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Monroe, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.6 Yrs
Regional Practice Density
16 Specialists

Practicing in Monroe, NC (2422 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

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License NC 9601778

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

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

33 Associated Practitioners
Kylee Nutter , PA

Physician Assistant - Medical

NPI 1013789734

Physician Assistant

Lashana Ingram

Case Manager/Care Coordinator

NPI 1073459368
Shannon Butler-Greene

Counselor - Mental Health

NPI 1093529828
Joanna Bogunjoko

Community/Behavioral Health

NPI 1154278273
Regina Norville , FNP

Nurse Practitioner - Family

NPI 1184201279

Family Nurse Practitioner

Ratna Acharya , FNP

Nurse Practitioner - Family

NPI 1235740945

Family Nurse Practitioner

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 October 02, 2020

Record deactivated on October 02, 2020

NPI Profile Active March 01, 2010

NPI status registered as active in NPPES database

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Updated Practice Location March 01, 2010

Registered at 404 S SUTHERLAND AVE, MONROE, NC 281125060 (Tel: 7042919267)

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Updated Business Mailing Address March 01, 2010

Registered at 404 S SUTHERLAND AVE, MONROE, NC 281125060 (Tel: 7042919267)

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Provider Name / Credentials Updated March 01, 2010

Recorded as NADIA IBRAHIM, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 01, 2010

Pediatrics (License #9601778 in NC)

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Initial NPI Registration & Enumeration March 25, 2006

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: 1083674758
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 25, 2006
Last Update: March 01, 2010
Deactivation Date: October 02, 2020

Mailing Address

404 S Sutherland Ave

Monroe, NC 281125060

Phone: 7042919267

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.