Individual provider Active NPI

Ibrahim Abdulhamid, MD

  • Pediatric Pulmonology Physician
  • Detroit, MI
National Provider Identifier
1659314326
Registry record updated Nov 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X
License
4301054809 Issued in MI
Practice address
3901 Beaubien
2ND Floor Carl's Building
Detroit, MI 48201
Phone
(313) 745-5541
Fax
(313) 993-2948
NPI assigned
Jun 13, 2006
Last updated
Nov 23, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301054809 MI
Pediatric Pulmonology Physician 2080P0214X 4301054809 MI Primary

Addresses

Primary practice location

3901 Beaubien
2ND Floor Carl's Building
Detroit, MI 48201

Mailing address

4201 St. Antoine
Uhc - 5D; Mailbox #226
Detroit, MI 48201
Phone (313) 745-4405

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20101109001388 MI Practitioner - Pediatric MedicinePractitioner - Pulmonary Disease 5890980452 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Pulmonary Disease
Education
Ohio Medical University, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University PediatriciansGroup PAC ID 9638070568, 121 clinicians

Practice addresses (Care Compare)

3901 Beaubien St
Detroit, MI 48201-2119
Phone (313) 745-5870

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301054809MIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Pediatricians Pediatrics CurrentSince Jul 1, 1998 Accepting new patients
Hurley Medical Center CurrentSince May 16, 2020 Accepting new patients
University Pediatricians Pediatrics CurrentSince Jul 1, 1998 Accepting new patients
Hurley Medical Center Pediatrics CurrentSince May 16, 2020 Accepting new patients
Hurley Medical Center Current Accepting new patients
Pediatric Pulmonary and Sleep Specialists, PLLC Past Accepting new patients

Locations

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

3901 Beaubien St
Fl 2
Detroit, MI 48201
Phone (313) 745-0659

1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000

1 Hurley Plz
#3D
Flint, MI 48503
Phone (810) 262-6046

300 E 1st St
#201
Flint, MI 48502
Phone (810) 262-9773

5710 Clio Rd
Flint, MI 48504
Phone (810) 785-4445

Interoperability endpoints

  • Direct secure messaging: iabdulhamid3993@direct.hurleymc.com
  • Direct secure messaging: ihamid@direct.dmc.org

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448236800000",
    "number": "1659314326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 ST. ANTOINE",
            "address_2": "UHC - 5D; MAILBOX #226",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48201",
            "telephone_number": "313-745-4405",
            "fax_number": "313-966-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 BEAUBIEN",
            "address_2": "2ND FLOOR CARL'S BUILDING",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48201",
            "telephone_number": "313-745-5541",
            "fax_number": "313-993-2948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDULHAMID",
        "first_name": "IBRAHIM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2015-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301054809",
            "primary": false
        },
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "MI",
            "license": "4301054809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.