Khaled Ibrahim, M.D.
NPI 1497108393ActiveIndividual· General Practice· Palm Coast, FL
General Practice (M.D.) with Conviva Medical Center Management, LLC, practicing in Palm Coast, Florida. Their prescriptions cost Medicare Part D more than their services did: $80,427 for 1,917 claims, against $7,237 paid for services in 2024. Glaxosmithkline, LLC. was the largest of 3 companies reporting payments in 2024, $177.94 in all, mostly food and beverage. Lists Adventhealth Palm Coast as a hospital affiliation.
Overview
| NPI | 1497108393 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Jul 15, 2016 |
| Last updated in NPPES | Jul 7, 2026 |
| Certified by provider | Jul 7, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | ACN1088 | FL |
| General Practice | 208D00000X | 19420 | PR |
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 - General Practice (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 34 |
|---|---|
| Services billed | 95 across 12 procedure codes |
| Paid by Medicare | $7,237 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,917 · 4,507 30-day fills |
|---|---|
| Patients | 617 |
| Total drug cost | $80,427 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 1993 |
|---|---|
| Medicare specialty | General Practice |
Medical group
- Conviva Medical Center Management, LLCMargate, FL · 512 clinicians
Hospital affiliation
- Adventhealth Palm CoastPalm Coast, FL
Industry payments (Open Payments)
- 2024$177.94 · 8 payments from 3 companies
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Glaxosmithkline, LLC. | $143.54 | 6 |
| Medtronic, Inc. | $18.21 | 1 |
| Janssen Pharmaceuticals, Inc | $16.19 | 1 |
What the 2024 payments were for
- Food and Beverage$177.94 · 8 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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