Ibrahim Hussein Dabaja, PA-C, PH.D.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

5601004858 Issued in MI

Practice address

1768 Ford Ave
Wyandotte, MI 48192-2306

Phone

(313) 377-5758

Fax

(734) 574-6060

NPI assigned

Nov 16, 2007

Reactivated

May 20, 2021

Last updated

Aug 8, 2026By the provider in NPPES

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 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jackson Urgent Care PLLCGroup PAC ID 9234538901, 5 clinicians

Blue Water Urgent Care PLLCGroup PAC ID 8123427895, 22 clinicians

Wyandotte Urgent Care ClinicGroup PAC ID 4183996150, 17 clinicians

Southshore Urgent Care PLLCGroup PAC ID 5698009777, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of Michigan Health System Hospital, Ann Arbor, MI, CCN 230046

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: idabaja63528@direct.hfhs.org

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

• Blue Water Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Fort Gratiot, MI
  • NPI 1477135036
  Medicare reassignment Care Compare group Authorized official
• Jackson Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Jackson, MI
  • NPI 1528643723
  Medicare reassignment Care Compare group Authorized official
• Southshore Urgent Care PLLC.

  • Urgent Care Clinic/Center
  • Brownstown TWP, MI
  • NPI 1356804710
  Medicare reassignment Care Compare group Authorized official
• Wyandotte Urgent Care Clinic

  • Urgent Care Clinic/Center
  • Wyandotte, MI
  • NPI 1316467384
  Medicare reassignment Care Compare group Authorized official
• Blue Water Primary Care

  • Family Medicine Physician
  • Fort Gratiot, MI
  • NPI 1013896638
  Medicare reassignment NPD Authorized official
• Blue Water Urgent Care New Baltimore

  • Urgent Care Clinic/Center
  • New Baltimore, MI
  • NPI 1235841362
  NPD (past) Authorized official
• Dabaja Medical Consulting

  • Primary Care Clinic/Center
  • Oak Park, MI
  • NPI 1174947543
  NPD (past) Authorized official
• Wyandotte Urgent Care

  • Urgent Care Clinic/Center
  • Wyandotte, MI
  • NPI 1548790959
  Authorized official Same address or phone
• Infinity Pain Management Group PLLC

  • Pain Medicine Physician
  • Detroit, MI
  • NPI 1225301260
  NPD (past)
• Infinity Primary Medicine Group

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1619241718
  NPD (past)
• Medical Visiting Physicians PLLC

  • Home Health Agency
  • Detroit, MI
  • NPI 1710168992
  NPD (past)
• Novi Urgent Care PLLC

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1619920253
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Regents of the University of Michigan

  dba University of Michigan Health System

  • General Acute Care Hospital
  • Ann Arbor, MI
  • NPI 1003878539
  Care Compare affiliation

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786147200000",
    "number": "1053592238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1768 FORD AVE",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481922306",
            "telephone_number": "734-299-0712",
            "fax_number": "734-574-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1768 FORD AVE",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481922306",
            "telephone_number": "313-377-5758",
            "fax_number": "734-574-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DABAJA",
        "first_name": "IBRAHIM",
        "middle_name": "HUSSEIN",
        "name_prefix": "Dr.",
        "credential": "PA-C, PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-16",
        "last_updated": "2026-08-08",
        "certification_date": "2026-08-08",
        "deactivation_date": "2021-04-23",
        "reactivation_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601004858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1158216100",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsey Cretens, PT
• Kayla Cribbin
• Dax Marquez Crisostomo, PT
• D. Bradford Barker, MD, PLC
• Aya H Dabaja, DO
• Zienab Dabaja
• NA Dai
• Denise Jean Dailing, PT
• Ibrahim Dakroub
• Herman J. Daldin, PH.D.

• Medical Physician Assistant in Wyandotte, MI
• Providers in Wyandotte, MI by specialty
• Medical Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2026; 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.