Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Athara Ismail Ibrahim, CCC/AUD

Individual provider Audiologist · NPI 1356021521

Athara Ismail Ibrahim, CCC/AUD is a Qualified Audiologist in Bloomington, Minnesota. Qualified in 2023, 3 years ago. Practices with National Dizzy and Balance Center, Ltd, a 30-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
3
Licensed in
MN
In the registry since
2023
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Practice location Address checks out

4801 W 81st St Ste 112
Bloomington, MN 55437-1111
Phone: (952) 345-3000
Fax: (952) 345-6789
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1630 101st Ave Ne Ste 160, Blaine, MN 55449-3403 — (952) 345-3000
  • 162 Cobblestone Ln, Burnsville, MN 55337-4578 — (952) 345-3000
  • 7650 Currell Blvd Ste 260, Woodbury, MN 55125-8209 — (952) 345-3000

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X · Licence 528789 (MN)

Record details

NPI number1356021521
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC/AUD
Sole proprietorNo
NPI enumeratedJuly 21, 2023
Last updated in NPPESNovember 14, 2025
Certification dateNovember 14, 2025
Mailing address4801 W 81st St Ste 112, Bloomington, MN 55437-1111

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED AUDIOLOGIST
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice National Dizzy And Balance Center,Ltd. — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bloomington