Ali E Ibrahim, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

4301083191 Issued in MI

Practice address

3085 Hallmark CT Ste 1
Saginaw, MI 48603-6803

Phone

(989) 996-0566

Fax

(989) 401-2876

NPI assigned

Sep 2, 2006

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 7

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

PsychiatryAlso: Geriatric Psychiatry

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Bay-Arenac Behavioral HealthGroup PAC ID 5496706228, 30 clinicians

Ausable Valley Community Mental Health Services BoardGroup PAC ID 2961485610, 16 clinicians

Hospital Psychiarty PLLCGroup PAC ID 0547424186, 7 clinicians

Saginaw County Community Mental Health AuthorityGroup PAC ID 7719037332, 25 clinicians

List Psychological Services, PLCGroup PAC ID 6709799323, 28 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• McLaren Bay Region Hospital, Bay City, MI, CCN 230041
• Tawas St Joseph Hospital Hospital, Tawas City, MI, CCN 230100

Merit-based Incentive Payment System (MIPS)

Final score

41.32 of 100Reported as group

Quality

20

Improvement activities

0

Cost

84.4

Merit-based Incentive Payment System (MIPS)

Final score

82.58 of 100Reported as group

Quality

58.15

Promoting interoperability

100

Improvement activities

40

Cost

74.45

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 34)

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/saginaw-e4d72067
• Direct secure messaging: aibrahim1467@direct.covenanthealthcare.com
• Direct secure messaging: listpsychologicalservices.aliibrahim@130916.advancedmd-direct.com

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.

• Hospital Psychiarty PLLC

  • Neurology Physician
  • Saginaw, MI
  • NPI 1144590290

  MI

  Medicare reassignment Care Compare group NPD Authorized official
• Ausable Valley Community Mental Health Services Board

  • Community/Behavioral Health Agency
  • Tawas City, MI
  • NPI 1417011701

  MI

  Medicare reassignment Care Compare group NPD
• Bay-Arenac Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bay City, MI
  • NPI 1154439438

  MI

  Medicare reassignment Care Compare group NPD
• List Psychological Services, PLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Caro, MI
  • NPI 1336176031

  MI, Psychiatry

  Medicare reassignment Care Compare group NPD
• Saginaw County Community Mental Health Authority

  • Community/Behavioral Health Agency
  • Saginaw, MI
  • NPI 1689778953

  MI

  Medicare reassignment Care Compare group NPD
• Healthsource Saginaw Inc

  • Skilled Nursing Facility
  • Saginaw, MI
  • NPI 1265426704

  MI

  Medicare reassignment NPD
• Memorial Hospital

  • General Practice Physician
  • Owosso, MI
  • NPI 1235160532

  MI, Psychiatry

  Medicare reassignment NPD
• Partners in Change: Psychological & Community Services, PLC

  • Psychologist
  • Midland, MI
  • NPI 1093984817

  MI

  Medicare reassignment NPD
• Pathways

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Marquette, MI
  • NPI 1487683546

  MI

  Medicare reassignment NPD
• Pine Rest Christian Mental Health Services

  • General Practice Physician
  • Grand Rapids, MI
  • NPI 1851309884

  MI

  Medicare reassignment NPD
• Solutions Behavioral Health, LLC

  • Community/Behavioral Health Agency
  • Saginaw, MI
  • NPI 1902165772

  MI

  Medicare reassignment NPD
• Training & Treatment Innovations Inc

  • Community/Behavioral Health Agency
  • Oxford, MI
  • NPI 1609857978

  MI

  Medicare reassignment NPD

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

• McLaren Bay Region

  • General Acute Care Hospital
  • Bay City, MI
  • NPI 1528031226

  Hospital

  Care Compare affiliation
• Mymichigan Medical Center Tawas

  • Internal Medicine Physician
  • Tawas City, MI
  • NPI 1003996679

  Hospital

  Care Compare affiliation
• Mymichigan Medical Center Tawas

  • Rural Health Clinic/Center
  • Tawas City, MI
  • NPI 1164410841

  Hospital

  Care Compare affiliation
• Mymichigan Medical Center Tawas

  • General Acute Care Hospital
  • Tawas City, MI
  • NPI 1194713461

  Hospital

  Care Compare affiliation
• Mymichigan Medical Center Tawas

  • Rural Health Clinic/Center
  • Au Gres, MI
  • NPI 1326036153

  Hospital

  Care Compare affiliation
• Mymichigan Medical Center Tawas

  • Rural Health Clinic/Center
  • Tawas City, MI
  • NPI 1679561468

  Hospital

  Care Compare affiliation
• Mymichigan Medical Center Tawas

  • Rural Health Clinic/Center
  • Tawas City, MI
  • NPI 1952399743

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1710089388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 JOE MANN BLVD STE P-6",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486428900",
            "telephone_number": "989-791-2455",
            "fax_number": "989-791-1392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3085 HALLMARK CT STE 1",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486036803",
            "telephone_number": "989-996-0566",
            "fax_number": "989-401-2876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "ALI",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301083191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710089388",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "700G360210",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPLUS",
            "identifier": "0999825",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00161003",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0731093",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "381870664",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "AI083191",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Allen Hyland, D.D.S.
• Thomas E Hyland Jr.
• Jessica Anne Hynes, LBSW
• Viola Qafalijaj Hysa, M.D.
• Kareem M. Ibraheem, MBBCH
• Ibtihaj Rajoulh, M.D., P.C.
• Peter R Idoni II
• Stephen James Idzior, OTRL
• Cristina Iglesias Chase
• Dianne Ignash

• All providers in Saginaw, MI
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.