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

Ibrahim Shamasneh, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1013604933

Ibrahim Shamasneh, MD is an Internal Medicine in Saint Louis, Missouri. Qualified in 2022, 4 years ago. Works from 2 locations. Licensed in Missouri.

Years since qualifying
4
Licensed in
MO
In the registry since
2023
Specialties on file
2
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

1201 S Grand Blvd
Saint Louis, MO 63104-1016
Phone: (314) 617-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1270 Prince Ave, Athens, GA 30606 — (706) 475-7055

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 2026030846 (MO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1013604933
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 20, 2023
Last updated in NPPESJuly 9, 2026
Certification dateJuly 9, 2026

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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