Ibrahim Sablaban

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

5101022446 Issued in MI

Practice address

2799 W. Grand Blvd
Henry Ford Hospital
Detroit, MI 48202

Phone

(313) 874-6611

Fax

(313) 874-6655

NPI assigned

Apr 8, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MI, VI2 enrollments

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 2

Specialty

Psychiatry

Education

Michigan State University College of Osteopathic Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Beaumont Medical Group Hospital Based ServicesGroup PAC ID 3072875889, 575 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mymichigan Medical Center Alpena Hospital, Alpena, MI, CCN 230036

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: isablaban120179@mymichiganhealth.midirect.net
• Direct secure messaging: isablaban1253994@epic00.shdirect.org
• Direct secure messaging: isablaban414444@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.

• Beaumont Medical Group Hospital -Based Services

  • Hospitalist Physician
  • Royal Oak, MI
  • NPI 1427567858

  MI

  Medicare reassignment Care Compare group NPD
• Recovery Physicians Network of Michigan

  • Addiction (Substance Use Disorder) Psychologist
  • Auburn Hills, MI
  • NPI 1689343683

  MI, Psychiatry

  Medicare reassignment NPD
• Oxford Integrated Health Solutions PLLC

  • Psychiatry Physician
  • Surprise, AZ
  • NPI 1003151580

  MI, Psychiatry

  Medicare reassignment NPD
• VI Government Hospital and Health Facilities Corp

  • General Acute Care Hospital
  • St Thomas, VI
  • NPI 1487699047

  VI

  Medicare reassignment NPD
• Michigan BH JV, LLC

  • Psychiatric Hospital
  • Dearborn, MI
  • NPI 1164091799
  NPD (past)

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

• Mymichigan Medical Center Alpena

  • Rural Acute Care Hospital
  • Sault Sainte Marie, MI
  • NPI 1619791431

  Hospital

  Care Compare affiliation
• Mymichigan Medical Center Alpena

  • Rural Acute Care Hospital
  • Alpena, MI
  • NPI 1619914652

  Hospital

  Care Compare affiliation
• Mymichigan Medical Center Alpena

  • Internal Medicine Physician
  • Alpena, MI
  • NPI 1942302302

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1460073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1831553528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 S MELBORN ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241620",
            "telephone_number": "773-225-0365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2799 W. GRAND BLVD",
            "address_2": "HENRY FORD HOSPITAL",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48202",
            "telephone_number": "313-874-6611",
            "fax_number": "313-874-6655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "441 S Melborn St",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481241620",
            "country_code": "US",
            "telephone_number": "773-225-0365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SABLABAN",
        "first_name": "IBRAHIM",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-08",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5315076014",
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "MI",
            "license": "5101022446",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "5101022446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rima Daou Sabbagh
• Joshua Sabes
• Saman Sabeti-Toussi
• Gauravi Sabharwal, M.D.
• Adnan Sabic, M.D.
• Stephanie Christy Sablich
• Cynthia J Sabo, CPNP
• Jessica Marie Sabo, MS, PA-C
• Shaun Saboo, PHARMD
• Rania Saboungi, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.