ABDISAMAD IBRAHIM MD NPI 1922538834

NPI Information

  • NPI: 1922538834
  • Provider Name: ABDISAMAD IBRAHIM, MD
  • Classification: Internal Medicine - 207RI0011X
  • Specialization: Interventional Cardiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3300 OAKDALE AVE N
    ROBBINSDALE, MN
    ZIP 55422
  • Phone: (763) 581-5400

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NPI Details

Abdisamad Ibrahim, MD is an interventional cardiology internal medicine in Robbinsdale, MN with 9 years of experience. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. Abdisamad Ibrahim, MD NPI is 1922538834. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduation Year:2017

The provider's business location address is:

3300 OAKDALE AVE N
ROBBINSDALE, MN
ZIP 55422-926
Phone: (763) 581-5400

The NPI 1922538834 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/13/2017 and was last updated on 5/23/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine68572MINNESOTANo
2207R00000XInternal Medicine75501CONNECTICUTNo
3390200000XStudent in an Organized Health Care Education/Training ProgramNo
4207RI0011XInternal MedicineInterventional Cardiology68572MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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