NPIMap

Individual provider Active NPI

Ibtihaj Rajoulh, MD

  • Internal Medicine Physician
  • Saginaw, MI
National Provider Identifier
1790758845
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301056947 Issued in MI
Practice address
4757 McLeod Dr E
Saginaw, MI 48604
Phone
(989) 797-3130
Fax
(989) 797-3124
NPI assigned
Feb 9, 2006
Last updated
Mar 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301056947 MI Primary

Addresses

Primary practice location

4757 McLeod Dr E
Saginaw, MI 48604

Mailing address

4757 McLeod Dr E
Saginaw, MI 48604
Phone (989) 797-3130

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address irajoulh@ibtihajrajoulh.mdpc.amazing-direct.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091113000039 MI Practitioner - Internal Medicine 8325186281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4757 McLeod Dr E
Saginaw, MI 48604-2838
Phone (989) 797-3130

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301056947MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ibtihaj Rajoulh, M.D., P.C. CurrentSince Sep 19, 2009 Accepting new patients

Locations

4757 McLeod Dr E
Saginaw, MI 48604
Phone (989) 797-3130

Interoperability endpoints

  • Direct secure messaging: irajoulh@ibtihajrajoulh.mdpc.amazing-direct.com

Organizations & group practices 1

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1790758845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4757 MCLEOD DR E",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "48604",
            "telephone_number": "989-797-3130",
            "fax_number": "989-797-3124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4757 MCLEOD DR E",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "48604",
            "telephone_number": "989-797-3130",
            "fax_number": "989-797-3124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJOULH",
        "first_name": "IBTIHAJ",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-09",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301056947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "irajoulh@ibtihajrajoulh.mdpc.amazing-direct.com",
            "affiliation": "N",
            "address_1": "4757 McLeod Dr E",
            "city": "Saginaw",
            "state": "MI",
            "country_code": "US",
            "postal_code": "48604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.