IBRAHIM AHMED ABDALLA WAFIK
COGENT HEALTHCARE OF JACKSONVILLE, LLC

Address: 60 Memorial Medical Pkwy, Palm Coast, FL 32164-5980

IBRAHIM AHMED ABDALLA WAFIK (NPI# 1699722827, PAC ID# 9234029646) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1699722827
by National Plan and Provider Enumeration System (NPPES)
PECOS Associate Control (PAC) ID 9234029646
by Medicare Provider Enrollment and Chain/Ownership System (PECOS)
Professional Enrollment ID I20040318001137
Last Name ABDALLA WAFIK
First Name IBRAHIM
Middle Name AHMED
Gender M
Credential MD
Organization Legal Name COGENT HEALTHCARE OF JACKSONVILLE, LLC
Address 60 Memorial Medical Pkwy
Palm Coast
FL 32164-5980
Phone Number 3865862000
Graduation Year 1980
Primary Specialty INTERNAL MEDICINE
Group Practice PAC ID 1759435944
Number of Group Practice Members 56
Professional Accepts Medicare Assignment Y
Group Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
100118 FLORIDA HOSPITAL FLAGLER

Other Locations

Organization Location Address Phone
60 Memorial Medical Pkwy, Palm Coast, FL 32164-5980 3865862000 COGENT HEALTHCARE OF JACKSONVILLE, LLC
60 Memorial Medical Pkwy, Palm Coast, FL 32164-5980 HOSPITALIST MEDICINE PHYSICIANS OF FLORIDA - PALM COAST, LLC
60 Memorial Medical Pkwy, Palm Coast, FL 32164-5980 SOUND PHYSICIANS OF FLORIDA IV, LLC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Title Performance Rate Attestation Value Star Value Patient Count
Care Plan (Claims) 94% 4 35

Provider Overview

Nation Provider ID (NPI) 1699722827
by National Plan and Provider Enumeration System (NPPES)
Full Name IBRAHIM AHMED ABDALLA WAFIK
Other Name
Taxonomy Code 174400000X
Taxonomy Classification Specialist
Location 875 Sterthaus Ave, Ormond Beach, FL 32174-5131

Organization Information

Organization Legal Name COGENT HEALTHCARE OF JACKSONVILLE, LLC

Physicians Physicians in the same organization

Name Specialty Organization Address
Chirag R Patel Internal Medicine Cogent Healthcare of Jacksonville, LLC 655 W 8th St, Uf Health Jacksonville, Jacksonville, FL 32209-6511
Roderick Hurt Internal Medicine Cogent Healthcare of Jacksonville, LLC 830 Lakeside Cir, Pompano Beach, FL 33060-7748
Karthik Chakrala Hospitalist Cogent Healthcare of Jacksonville, LLC 655 W 8th St, Uf Health Jacksonville, Jacksonville, FL 32209-6511
Steve M Dorman Jr. Allergy/Immunology Cogent Healthcare of Jacksonville, LLC 655 W 8th St, Uf Health Jacksonville, Jacksonville, FL 32209-6511
Alex Balmir Internal Medicine Cogent Healthcare of Jacksonville, LLC 15255 Max Leggett Pkwy, Jacksonville, FL 32218-7273
Vijayarama R Vegesna Hospitalist Cogent Healthcare of Jacksonville, LLC 15255 Max Leggett Pkwy, Jacksonville, FL 32218-7273
Alfonso David Moreno Internal Medicine Cogent Healthcare of Jacksonville, LLC 15255 Max Leggett Pkwy, Jacksonville, FL 32218-7273
Stuart J Newmark Internal Medicine Cogent Healthcare of Jacksonville, LLC 4725 N Federal Hwy, Holy Cross Hospital, Fort Lauderdale, FL 33308-4603
Mohamad Hatahet Internal Medicine Cogent Healthcare of Jacksonville, LLC 60 Memorial Medical Pkwy, Palm Coast, FL 32164-5980
Arun Varughese Family Medicine Cogent Healthcare of Jacksonville, LLC 60 Memorial Medical Pkwy, Palm Coast, FL 32164-5980
Find all physicians in the same organization

Office Location

Street Address 60 MEMORIAL MEDICAL PKWY
City PALM COAST
State FL
Zip Code 32164-5980

Physicians in the same location

Name Specialty Organization Address
Kristin B Mccabe-Kline Emergency Medicine Emergency Medicine Professionals Pa 60 Memorial Medical Pkwy, Palm Coast, FL 32164-5980
Robert T Livingston Family Medicine Emergency Medicine Professionals Pa 60 Memorial Medical Pkwy, Palm Coast, FL 32164-5980
Dawn M Myers Nurse Practitioner Emergency Medicine Professionals Pa 60 Memorial Medical Pkwy, Palm Coast, FL 32164-5980
Tracie Leigh Jones Nurse Practitioner Memorial Hospital Flagler Inc 60 Memorial Medical Pkwy, Palm Coast, FL 32164-5980
Angela C Busch-Doble Family Medicine Memorial Hospital Flagler Inc 60 Memorial Medical Pkwy, Palm Coast, FL 32164-5980
Tracy I Weiner Emergency Medicine Emergency Medicine Professionals Pa 60 Memorial Medical Pkwy, Palm Coast, FL 32164-5980
Raymond Weiand Orthopedic Surgery Memorial Hospital Flagler Inc 60 Memorial Medical Pkwy, Palm Coast, FL 32164-5980
Jordan A Kross Emergency Medicine Emergency Medicine Professionals Pa 60 Memorial Medical Pkwy, Palm Coast, FL 32164-5980
Steven W Swearingen Emergency Medicine Emergency Medicine Professionals Pa 60 Memorial Medical Pkwy, Palm Coast, FL 32164-5980
William Trinh Emergency Medicine Emergency Medicine Professionals Pa 60 Memorial Medical Pkwy, Palm Coast, FL 32164-5980
Find all in the same location

Physicians in the same zip code prefix

Name Specialty Organization Address
Brian T Bogdanowicz Family Medicine Mediquick Urgent Care Centers Inc 140 Pinnacles Dr, Palm Coast, FL 32164-2322
Don Joseph Alfonso Family Medicine Ardent Family Care Pa 84 Pinnacles Dr, Suite 200, Palm Coast, FL 32164-2324
Donald Reed Physician Assistant Roy H Hinman Md Pa 2 Mccormick Dr, Palm Coast, FL 32164-2352
Kavita Sharma Interventional Pain Management Prc Associates LLC 21 Hospital Dr, Suite 120, Palm Coast, FL 32164-2453
Michael K Makowski Ophthalmology Tomoka Eye Associates Pa 21 Hospital Dr, Suite 160, Palm Coast, FL 32164-2454
Vicki S Ma Occupational Therapy Physical Therapy Professionals and Associates, Inc. 84 Pinnacles Dr, Suite 300, Palm Coast, FL 32164-2324
Zaw Myint Family Medicine Roy H Hinman Md Pa 2 Mccormick Dr, Palm Coast, FL 32164-2352
Renato A Alfonso Internal Medicine Ardent Family Care Pa 84 Pinnacles Dr, Suite 200, Palm Coast, FL 32164-2324
Peter Richard Accorti Nurse Practitioner Estate Ventures LLC 57 Town Ct, Suite 123, Palm Coast, FL 32164-2425
Robert Bruce Perri Nurse Practitioner Ardent Family Care Pa 84 Pinnacles Dr, Suite 200, Palm Coast, FL 32164-2324
Find all in zip 32164

Competitor

Search similar physicians

City PALM COAST
Zip Code 32164
Specialty INTERNAL MEDICINE
City + Specialty PALM COAST + INTERNAL MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.