Ibrahim Saleh
Individual provider Active NPI Medical Physician Assistant · Dearborn, MI
NPI 1366074833 · NPPES record last updated Nov 13, 2025
Key facts
- NPI
- 1366074833
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 5601013343 (MI)
- Practice address
- 12841 Ford Rd
Dearborn, MI 48126-3349 - Phone
- (313) 710-4199
- NPI assigned
- Feb 12, 2020
- Reactivated
- Nov 12, 2025
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- University of Michigan Medical School, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- First Choice Urgent Care PC
Practice addresses (Care Compare)
23455 Michigan Ave
Suite a
Dearborn, MI 48124-1908
Phone (734) 333-8001
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251125004607 | MI | Practitioner - Physician Assistant | 1850883968 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601013343 | MI | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Choice Urgent Care PC | Current |
Accepting new patients | |
| First Choice Medical Group PLLC | Past |
Accepting new patients |
Locations
12841 Ford Rd
Dearborn, MI 48126
Phone (313) 710-4199
23455 Michigan Ave
Ste A
Dearborn, MI 48124
Phone (734) 333-8001
Interoperability endpoints
- https://api.platform.athenahealth.com/20203/brand/1/csg/1/fhir/r4
- ibrahim.saleh.1@20203.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 5601013343 | MI | Yes |
Addresses
Primary practice location
12841 Ford Rd
Dearborn, MI 48126-3349
Mailing address
12841 Ford Rd
Dearborn, MI 48126-3349
Other providers in Dearborn, MI
- Fahd Saleh
- Fatime Hassan Saleh
- Hanan Mohamed Saleh II
- Hanine Saleh
- Hind Saleh
- Kamar Saleh
- Khadejah M Saleh
- Leena Saleh
- Mohamad Saleh
- Mohammad Saleh
All providers in Dearborn, MI · Medical Physician Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.