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ALAA IBRAHIM
NPI 1104512425
Emergency Medicine in Wyandotte, MI

Active since April 11, 2023PECOS Enrolled
2333 BIDDLE AVE, WYANDOTTE, MI 48192(734) 246-6000 Get Directions Write a Review

NPPES record last updated: July 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 16, 2023, Apr 11, 2023 (2 updates tracked since 2023).

About Alaa Ibrahim NPPES

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

ALAA IBRAHIM (NPI 1104512425) is an individual emergency medicine provider in Wyandotte, Michigan, licensed in Michigan (5151016154) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and is a graduate of Michigan State University College Of Osteopathic Medicine (2023).

NPPES Registry Identity

NPI1104512425
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameALAA IBRAHIM
Location Address2333 BIDDLE AVEWyandotte, MI 48192-4668
Mailing Address2333 Biddle AveWyandotte, MI 48192-4668
Phone(734) 246-6000
Sole ProprietorYes
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2023
Enumeration DateApril 11, 2023
Last NPPES UpdateJuly 16, 20232 updates tracked since enumeration
NPPES CertifiedJuly 16, 2023
✔ NPI 1104512425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MI · 5151016154
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
2333 BIDDLE AVE, Wyandotte, MI 48192
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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)

Alaa Ibrahim is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7517324841
PECOS Enrollment IDI20260603001727
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48192 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.

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.

ZIENAB DABAJA
Podiatrist (Foot & Ankle Surgery)
2333 BIDDLE AVE
WYANDOTTE, MI 48192
Wayne County (734) 246-8004
SWETA BANDA
Emergency Medicine
2333 BIDDLE AVE
WYANDOTTE, MI 48192
Wayne County (734) 264-6000
DR. ZACHARY JUMP DO
Emergency Medicine
2333 BIDDLE AVE
WYANDOTTE, MI 48192
Wayne County (734) 287-9029
AUDREY HOEBECKE
Obstetrics & Gynecology
2333 BIDDLE AVE
WYANDOTTE, MI 48192
Wayne County (734) 246-8004
DR. ARSHAD PERVEZ M.D.
Internal Medicine
2333 BIDDLE AVE
WYANDOTTE, MI 48192
Wayne County (734) 464-0887
ANTHONY CAMPBELL
Surgery
2333 BIDDLE AVE
WYANDOTTE, MI 48192
Wayne County (734) 246-6000
DR. NAVEEN KAUR RIHAL DO
Obstetrics & Gynecology
2333 BIDDLE AVE
WYANDOTTE, MI 48192
Wayne County (734) 246-8004
MATTHEW KATZ MD
Student in an Organized Health Care Education/Training Program
2333 BIDDLE AVE
WYANDOTTE, MI 48192
Wayne County (734) 246-6000

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 Alaa Ibrahim's NPI number?

The NPI number for Alaa Ibrahim is 1104512425. It was assigned to this individual provider in the NPPES registry on April 11, 2023.

Where is Alaa Ibrahim located?

Alaa Ibrahim practices at 2333 Biddle Ave, Wyandotte, MI 48192. The listed phone number is (734) 246-6000.

What is Alaa Ibrahim's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Alaa Ibrahim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Alaa Ibrahim was last updated on July 16, 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.