Jacklynn Ibrahim
NPI 1063032662ActiveIndividual· Internal Medicine, Pulmonary Disease· Sherman Oaks, CA
Internal Medicine, Pulmonary Disease with Mid-Valley Pulmonary Medical Group, Inc., practicing in Sherman Oaks, California. Part D covered 11 prescriptions written in 2024. Lists NYU Langone Hospitals and 1 other hospital as hospital affiliations.
Overview
| NPI | 1063032662 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Apr 23, 2020 |
| Last updated in NPPES | Jun 1, 2026 |
| Certified by provider | Jun 1, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Pulmonary Disease Primary | 207RP1001X | A207203 | CA |
| Internal Medicine, Critical Care Medicine | 207RC0200X | A207203 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pulmonary Disease (CA) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 11 · 13 30-day fills |
|---|---|
| Total drug cost | $3,877 |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Pulmonary Disease |
Medical group
- Mid-Valley Pulmonary Medical Group, Inc.Sherman Oaks, CA · 11 clinicians
Hospital affiliations
- NYU Langone HospitalsNew York, NY
- Valley Presbyterian HospitalVan Nuys, CA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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