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

Omar Abdelhakim Ibrahim, PA-C

Individual provider Physician Assistant · NPI 1679212849

Omar Abdelhakim Ibrahim, PA-C is a Physician Assistant in Scottsdale, Arizona. Qualified in 2022, 4 years ago. Practices with Mayo Clinic Arizona, a 1,616-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
4
Licensed in
AZ
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

13400 E Shea Blvd
Scottsdale, AZ 85259-5499
Phone: (480) 301-8000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 630 W 168th St, New York, NY 10032-3725 — (212) 305-2500

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11043 (AZ)

Record details

NPI number1679212849
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 3, 2022
Last updated in NPPESAugust 4, 2025
Certification dateAugust 4, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Mayo Clinic Arizona — 1616 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Scottsdale