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SOHA IBRAHIM FNP
NPI 1083274542
Nurse Practitioner - Family in Dearborn Heights, MI

Active since June 17, 2019PECOS Enrolled
27117 SIMONE ST, DEARBORN HEIGHTS, MI 48127(313) 632-5005 Get Directions Write a Review

NPPES record last updated: June 21, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 21, 2023, Jun 17, 2019 (2 updates tracked since 2019).

About Soha Ibrahim Fnp NPPES

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

SOHA IBRAHIM FNP (NPI 1083274542) is an individual family provider in Dearborn Heights, Michigan, licensed in Michigan (4704250717) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083274542
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSOHA IBRAHIMCredential: FNP
Location Address27117 SIMONE STDearborn Heights, MI 48127-3339
Mailing Address27117 Simone StDearborn Heights, MI 48127-3339 · (313) 632-5005
Phone(313) 632-5005
Sole ProprietorYes
Enumeration DateJune 17, 2019
Last NPPES UpdateJune 21, 20232 updates tracked since enumeration
NPPES CertifiedJune 21, 2023
✔ NPI 1083274542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MI · 4704250717
27117 SIMONE ST, Dearborn Heights, MI 48127
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Soha Ibrahim Fnp 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Soha Ibrahim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mohamed Ayad, M.D., P.C.
7.0 mi
Family Medicine
13320 W WARREN AVE STE A
Dearborn, MI 48126
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Mohamed Ayad MD PC
  • 3 clinicians in this Medicare group
NPI 1962823005 (313) 581-4450
Vpa PC
12 mi
Family Medicine
21540 W 11 MILE RD STE 200
Southfield, MI 48076
  • Reassigned Medicare billing, Michigan enrollment
  • 279 clinicians in this Medicare group
NPI 1245859446 (248) 352-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48127 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Soha Ibrahim's NPI number?

The NPI number for Soha Ibrahim is 1083274542. It was assigned to this individual provider in the NPPES registry on June 17, 2019.

Where is Soha Ibrahim located?

Soha Ibrahim practices at 27117 Simone St, Dearborn Heights, MI 48127. The listed phone number is (313) 632-5005.

What is Soha Ibrahim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Soha Ibrahim enrolled in Medicare?

Yes. Soha Ibrahim is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Soha Ibrahim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Soha Ibrahim reassigns Medicare benefits to 2 organizations: Mohamed Ayad, M.D., P.C. (Dearborn, MI) and Vpa PC (Southfield, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Soha Ibrahim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Soha Ibrahim was last updated on June 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.