Ibtesam M Rafeea, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4301085086 Issued in MI

Practice address

5266 Schaefer Rd
Dearborn, MI 48126-3228

Phone

(313) 914-3036

Fax

(313) 908-2247

NPI assigned

Feb 17, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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: irafeea@ibtesammrafeeamdpc.ehi.direct-ci.com
• Direct secure messaging: irafeea203457@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 and National Provider Directory roles.

• Ibtesam M Rafeea M D P C

  • Pediatrics Physician
  • Dearborn, MI
  • NPI 1184067829
  Medicare reassignment Authorized official
• Henry Ford Health System

  • General Acute Care Hospital
  • Detroit, MI
  • NPI 1134144801
  Medicare reassignment NPD
• Henry Ford Health System

  • Pediatrics Physician
  • Detroit, MI
  • NPI 1003990318
  NPD
• Henry Ford Health System

  • Community/Retail Pharmacy
  • Plymouth, MI
  • NPI 1942931720
  NPD
• Alenzi MD PC

  • Family Medicine Physician
  • Dearborn, MI
  • NPI 1417478017
  NPD (past)

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1740255306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5266 SCHAEFER RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263228",
            "telephone_number": "313-914-3036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5266 SCHAEFER RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263228",
            "telephone_number": "313-914-3036",
            "fax_number": "313-908-2247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFEEA",
        "first_name": "IBTESAM",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301085086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN LICENSE",
            "identifier": "4301085086",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLES SUBSTANCE REG.",
            "identifier": "BR9193044",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Anne Rabtor
• Hussein Ali Rachid
• Radiant Life Counseling Center, LLC
• Raed Haddad MD, PLLC
• Christina Marie Rafalko
• Raffic a. Mackie D.D.S., P.C.
• Raffic a. Mackie D.D.S., P.C.& Associates
• Zia Rafiq, DDS
• Hesham Ragih I
• Devan Darona Ragland

• Pediatrics Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.