AHMAD KOFAHI MD
NPI 1063200251
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since April 28, 2025PECOS Enrolled
4201 SAINT ANTOINE ST STE 6A, DETROIT, MI 48201(313) 745-4627(313) 966-7305 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ahmad Kofahi Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AHMAD KOFAHI MD (NPI 1063200251) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063200251
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameAHMAD KOFAHICredential: MD
Location Address4201 SAINT ANTOINE ST STE 6ADetroit, MI 48201-2153
Mailing Address4201 Saint Antoine St Ste 9cDetroit, MI 48201-2153 · (313) 745-5146 · Fax (313) 966-7305
Fax(313) 966-7305
Sole ProprietorYes
Enumeration DateApril 28, 2025
NPPES CertifiedApril 28, 2025
NPI 1063200251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4201 SAINT ANTOINE ST STE 6A, Detroit, MI 48201

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ahmad Kofahi Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST STE 6A
DETROIT, MI 48201
Internal Medicine
4201 SAINT ANTOINE ST STE 6A
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST STE 6A
DETROIT, MI 48201
Internal Medicine
4201 SAINT ANTOINE ST STE 6A
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST STE 6A
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST STE 6A
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST STE 6A
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST STE 6A
DETROIT, MI 48201

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ahmad Kofahi's NPI number?

The NPI number for Ahmad Kofahi is 1063200251. It was assigned to this individual provider in the NPPES registry on April 28, 2025.

Where is Ahmad Kofahi located?

Ahmad Kofahi practices at 4201 Saint Antoine St Ste 6A, Detroit, MI 48201. The listed phone number is (313) 745-4627.

What is Ahmad Kofahi's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ahmad Kofahi enrolled in Medicare?

Yes. Ahmad Kofahi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ahmad Kofahi was last updated on April 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.