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

Ishaq O Ibrahim, MD

Individual provider Orthopaedic Trauma Physician · NPI 1871975003

Ishaq O Ibrahim, MD is an Orthopedic Surgery in Boston, Massachusetts. Graduated from Rush Medical College of Rush University in 2015, 11 years ago. Practices with Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc, a 1,676-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
11
Trained at
Rush Medical College of Rush University
Licensed in
MA
In the registry since
2015
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

330 Brookline Ave Stoneman 10
Boston, MA 02215-5400
Phone: (617) 667-3940
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Trauma Physician (primary) Taxonomy 207XX0801X · Licence 1013936 (MA)

Record details

NPI number1871975003
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 24, 2015
Last updated in NPPESSeptember 20, 2024
Certification dateSeptember 20, 2024
Mailing address330 Brookline Ave, Stoneman 10, Boston, MA 02215-5400

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolRUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduated 2015 (11 years in practice)
Group practice Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc — 1676 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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