Fadi Ibrahim, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301092978 Issued in MI

Practice address

31313 Northwestern Hwy
#203
Farmington Hills, MI 48334-2559

Phone

(248) 880-0123

Fax

(586) 751-6043

NPI assigned

Oct 14, 2008

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: fibrahim373482@direct.hfhs.org
• Direct secure messaging: fibrahim@direct.dmc.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.

• Henry Ford Health System

  • General Acute Care Hospital
  • Detroit, MI
  • NPI 1134144801
  Medicare reassignment NPD
• Ami Medical Associates PLLC

  • Family Medicine Physician
  • Farmington Hills, MI
  • NPI 1619306404
  Authorized official Same address or phone
• Fadi Ibrahim, MD PC

  • Primary Care Clinic/Center
  • Farmington Hills, MI
  • NPI 1841769627
  Authorized official Same address or phone
• Henr Y Ford Health System

  • Family Medicine Physician
  • Detroit, MI
  • NPI 1952485351
  NPD
• Henry Ford Health System

  • Community/Retail Pharmacy
  • Plymouth, MI
  • NPI 1942931720
  NPD
• Inpatient Consultants of Michigan PC

  • Hospitalist Physician
  • Livonia, MI
  • NPI 1861442824
  NPD (past)

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591574400000",
    "number": "1396997912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31313 NORTHWESTERN HWY",
            "address_2": "#203",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342559",
            "telephone_number": "248-880-0123",
            "fax_number": "586-751-6043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31313 NORTHWESTERN HWY",
            "address_2": "#203",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342559",
            "telephone_number": "248-880-0123",
            "fax_number": "586-751-6043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "FADI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-14",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301092978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oghenekevwe Crystal Ibihwiori
• Oluwadamilola Ibironke
• Imran Ibn-Abdurr-Rahman
• Abdikadir Ibrahim
• Anthony Ibrahim, PHARMD
• Ghadeer Ibrahim
• Mena Ibrahim
• Samsam Ibrahim
• Amra Ibrisimovic
• Cindy Ibtu

• Family Medicine Physician in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.