Ibrahim A Jawad, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

4301044506 Issued in MI

Practice address

20671 Williamsburg Rd
Dearborn Heights, MI 48127-2757

Phone

(313) 903-2100

Fax

(844) 225-2914

NPI assigned

Dec 6, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Cardiovascular Disease (Cardiology)Also: Internal Medicine

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Basha Diagnostics P CGroup PAC ID 5890681746, 28 clinicians

Medical Associates PCGroup PAC ID 1355333865, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Basha Diagnostics P C

  • Diagnostic Radiology Physician
  • Royal Oak, MI
  • NPI 1770693798
  Medicare reassignment Care Compare group NPD
• Medical Associates, PC

  • Internal Medicine Physician
  • Ypsilanti, MI
  • NPI 1912984980
  Medicare reassignment Care Compare group NPD
• Associated Physicians of Dearborn, PLLC

  • Multi-Specialty Clinic/Center
  • Dearborn, MI
  • NPI 1982636460
  Medicare reassignment
• Clinton County Medical Center PC

  • Family Medicine Physician
  • Saint Johns, MI
  • NPI 1861486938
  Medicare reassignment
• Harper Hutzel Hospital

  • Clinic/Center
  • Detroit, MI
  • NPI 1417150327
  NPD (past)
• Mapleview Laboratory, Inc.

  • Clinical Medical Laboratory
  • Sterling Heights, MI
  • NPI 1235527516
  NPD (past)
• Personal Health Imaging, PLLC

  dba Allium Diagnostic Imaging

  • Specialist
  • Brooklyn, NY
  • NPI 1083659379
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1023092616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20671 WILLIAMSBURG RD",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481272757",
            "telephone_number": "313-903-2100",
            "fax_number": "844-225-2914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20671 WILLIAMSBURG RD",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481272757",
            "telephone_number": "313-903-2100",
            "fax_number": "844-225-2914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAWAD",
        "first_name": "IBRAHIM",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301044506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "700F319250",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023092616",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "110241691",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eyad Jadallah, FNP
• Lacey Jajko
• Farah Jalloul
• Ammar Jamal, DPT
• Aisha Javed-Khan, DMD
• Zahraa Kamel Jawad, PA
• Nidal J. Jboor, M.D.
• Jeffrey H. Weiss, D.D.S., P.C. Dental Associates
• Jeffrey Selaksy, DDS, PLLC (Jeffrey Selasky, DDS, PLLC)
• Amanda Johnson

• Cardiovascular Disease Physician in Dearborn Heights, MI
• Providers in Dearborn Heights, MI by specialty
• Cardiovascular Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.