Therese A. Ibrahim, MD
NPI 1063514172ActiveIndividual· Family Medicine· Ormond Beach, FL
Family Medicine (MD) with Conviva Medical Center Management, LLC, practicing in Ormond Beach, Florida. Their prescriptions cost Medicare Part D more than their services did: $569,671 for 10,117 claims, against $8,032 paid for services in 2024. Astrazeneca Pharmaceuticals LP reported $21.34 in payments in 2025, mostly food and beverage. Lists Adventhealth Daytona Beach as a hospital affiliation.
Overview
| NPI | 1063514172 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Sep 1, 2006 |
| Last updated in NPPES | Feb 17, 2026 |
| Certified by provider | Feb 17, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | ME94322 | FL |
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 - Family Practice (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 29 |
|---|---|
| Services billed | 131 across 19 procedure codes |
| Paid by Medicare | $8,032 |
Part D prescriptions in 2024
| Prescriptions (claims) | 10,117 · 25,717 30-day fills |
|---|---|
| Patients | 965 |
| Total drug cost | $569,671 |
| Generic share | 92% of claims |
Education and affiliations
| Graduation year | 1992 |
|---|---|
| Medicare specialty | Family Practice |
Medical group
- Conviva Medical Center Management, LLCMargate, FL · 512 clinicians
Hospital affiliation
- Adventhealth Daytona BeachDaytona Beach, FL
Other facilities
- Centerwell Home HealthHome health agency · Daytona Beach, FL
- Vitas Healthcare Corporation of FloridaHospice · Melbourne, FL
Industry payments (Open Payments)
- 2025$21.34 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astrazeneca Pharmaceuticals LP | $21.34 | 1 |
What the 2025 payments were for
- Food and Beverage$21.34 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 84 family medicine physicians in Ormond Beach · All family medicine physicians in Florida