Abdal-Rahman Ibrahim El-Mallah, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4351048550 Issued in MI

Practice address

12700 S Morrow Cir
Dearborn, MI 48126-1552

Phone

(313) 623-4910

NPI assigned

May 24, 2021

Last updated

Apr 10, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Abd Al Rahman Ibrahim El-Mallah Other name

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

Family Practice

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Group practices

Get Well Urgent Care Dearborn PLCGroup PAC ID 7911373170, 18 clinicians

Get Well Urgent Care Southgate PLCGroup PAC ID 9537575881, 8 clinicians

Get Well Urgent Care Taylor PLCGroup PAC ID 4385011329, 14 clinicians

Oak Park Urgent Care PLLCGroup PAC ID 6305169988, 23 clinicians

Get Well Urgent Care Dearborn Heights PLCGroup PAC ID 7012362833, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Get Well Urgent Care Dearborn Heights PLC

  • Urgent Care Clinic/Center
  • Dearborn Heights, MI
  • NPI 1871204578
  Medicare reassignment Care Compare group NPD
• Get Well Urgent Care Dearborn PLC

  • Urgent Care Clinic/Center
  • Dearborn, MI
  • NPI 1942936307
  Medicare reassignment Care Compare group NPD
• Get Well Urgent Care Southgate PLC

  • Urgent Care Clinic/Center
  • Southgate, MI
  • NPI 1235722430
  Medicare reassignment Care Compare group NPD
• Get Well Urgent Care Taylor PLC

  • Urgent Care Clinic/Center
  • Taylor, MI
  • NPI 1689320012
  Medicare reassignment Care Compare group NPD
• Oak Park Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Oak Park, MI
  • NPI 1770980385
  Medicare reassignment Care Compare group NPD
• Get Well Urgent Care Downriver PLC

  • Urgent Care Clinic/Center
  • Lincoln Park, MI
  • NPI 1578035317
  Medicare reassignment NPD
• Hoover Urgent Care of Warren PLLC

  • Urgent Care Clinic/Center
  • Warren, MI
  • NPI 1821351610

  Family Medicine

  Medicare reassignment NPD
• Prime Medical Family Practice PLLC

  • Primary Care Clinic/Center
  • Detroit, MI
  • NPI 1942179312
  Medicare reassignment NPD
• Southfield City Urgent Care PC

  • Urgent Care Clinic/Center
  • Southfield, MI
  • NPI 1811278716
  Medicare reassignment NPD
• State of Michigan Office of Financial Management

  dba State of Michigan

  • Psychiatric Hospital
  • Westland, MI
  • NPI 1508883299
  Medicare reassignment

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1750956652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12700 S MORROW CIR",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261552",
            "telephone_number": "313-623-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12700 S MORROW CIR",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261552",
            "telephone_number": "313-623-4910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22250 Providence Drive",
            "address_2": "Suite #557",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480754818",
            "country_code": "US",
            "telephone_number": "248-849-3447",
            "fax_number": "248-849-8021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EL-MALLAH",
        "first_name": "ABDAL-RAHMAN",
        "middle_name": "IBRAHIM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-24",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4351048550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABD AL RAHMAN",
            "last_name": "EL-MALLAH",
            "middle_name": "IBRAHIM",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Adam A El-Kabout
• Diana Issam El-Kadi
• Ali A El-Khalil, DPM
• Samantha El-Khatib, OD
• Mazen El-Koudsi, NP
• Yasmeen Saba El-Masry, MA
• Maya El-Ozeir
• Nisreen El-Saghir, PA-C
• Mohamed El-Souri
• Zach Kamel Elagamy

• Family Medicine Physician in Dearborn, MI
• Providers in Dearborn, 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 Apr 10, 2025; 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.