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

Dr. Fady Ibrahim, MD

Individual provider Internal Medicine Physician · NPI 1861854390

Dr. Fady Ibrahim, MD is an Interventional Cardiology in LA Jolla, California. Qualified in 2016, 10 years ago. Practices with Enloe Medical Center, a 331-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in California and New Jersey.

Years since qualifying
10
Licensed in
CA, NJ
In the registry since
2016
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

9898 Genesee Ave
LA Jolla, CA 92037-1205
Phone: (858) 824-5222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 — (732) 828-3000
  • 300 Community Dr, Manhasset, NY 11030-3816 — (516) 562-0100

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence A178856 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 25MA10534100 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1861854390
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 23, 2016
Last updated in NPPESJune 1, 2023
Certification dateJune 1, 2023

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Enloe Medical Center — 331 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations8 on file with Medicare

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