ALAA IBRAHIM
NPI 1104512425
Emergency Medicine in Wyandotte, MI

Q: 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.

Q: What is Alaa Ibrahim's specialty?

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

Q: 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.

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: October 25, 2026.

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

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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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Alaa Ibrahim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ihp Mi Emergency Medicine PLLC

12 mi

Emergency Medicine

6245 INKSTER RD
Garden City, MI 48135

Reassigned Medicare billing, Michigan enrollment
83 clinicians in this Medicare group

NPI 1861147456 (484) 965-9566

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 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.

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