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MR. IBRAHIM TAYEH DPM
NPI 1083509186
Podiatrist - Foot & Ankle Surgery in Wayne, MI

Active since June 10, 2025PECOS Enrolled
33155 ANNAPOLIS ST, WAYNE, MI 48184(734) 467-4000 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Ibrahim Tayeh Dpm NPPES

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

MR. IBRAHIM TAYEH DPM (NPI 1083509186) is an individual foot & ankle surgery provider in Wayne, Michigan, licensed in Michigan (5951001594) and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083509186
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameMR. IBRAHIM TAYEHCredential: DPM
Location Address33155 ANNAPOLIS STWayne, MI 48184-2405
Mailing Address33155 Annapolis StWayne, MI 48184-2405
Phone(734) 467-4000
Sole ProprietorYes
Enumeration DateJune 10, 2025
NPPES CertifiedJune 10, 2025
✔ NPI 1083509186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in MI · 5951001594
33155 ANNAPOLIS ST, Wayne, MI 48184
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Ibrahim Tayeh Dpm 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.

CHRISTOPHER LAJEUNESSE MD
Family Medicine
33155 ANNAPOLIS ST
WAYNE, MI 48184
Wayne County (734) 467-2483
NASSRINE NAIM DO
Family Medicine
33155 ANNAPOLIS ST
WAYNE, MI 48184
Wayne County (734) 467-4000
ELIZABETH LEWANDOWSKI
Family Medicine
33155 ANNAPOLIS ST
WAYNE, MI 48184
Wayne County (734) 467-4000
DR. SUSAN HORLING D.O.
Emergency Medicine
33155 ANNAPOLIS ST, EMERGENCY MEDICINE DEPARTMENT
WAYNE, MI 48184
Wayne County (734) 467-4042
MRS. KIMBERLY ANN HARBER CRNA
Nurse Anesthetist, Certified Registered
33155 ANNAPOLIS ST
WAYNE, MI 48184
Wayne County (734) 467-4000
TERA MELANNE GOLDMAKHER MD
Emergency Medicine
33155 ANNAPOLIS ST, EMERGENCY DEPT
WAYNE, MI 48184
Wayne County (734) 467-4042
KERRILY QUAY RN,MSN,ACAGNP-BC
Nurse Practitioner
33155 ANNAPOLIS ST
WAYNE, MI 48184
Wayne County (734) 467-4000
STEPHEN VENABLE MD, MPH, RN
Family Medicine
33155 ANNAPOLIS ST
WAYNE, MI 48184
Wayne County (734) 467-4000

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 Ibrahim Tayeh's NPI number?

The NPI number for Ibrahim Tayeh is 1083509186. It was assigned to this individual provider in the NPPES registry on June 10, 2025.

Where is Ibrahim Tayeh located?

Ibrahim Tayeh practices at 33155 Annapolis St, Wayne, MI 48184. The listed phone number is (734) 467-4000.

What is Ibrahim Tayeh's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Ibrahim Tayeh enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Ibrahim Tayeh was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.