IBRAHIM RABABA DO
NPI 1134815764
Student in an Organized Health Care Education/Training Program in Detroit, MI

Q: What is Ibrahim Rababa's NPI number?

The NPI number for Ibrahim Rababa is 1134815764. It was assigned to this individual provider in the NPPES registry on April 17, 2023.

Q: What is Ibrahim Rababa's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ibrahim Rababa was last updated on April 17, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 17, 2023PECOS Enrolled

22201 MOROSS RD STE 150, DETROIT, MI 48236(313) 343-7110 Get Directions Write a Review

NPPES record last updated: April 17, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Ibrahim Rababa Do NPPES

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

IBRAHIM RABABA DO (NPI 1134815764) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134815764

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameIBRAHIM RABABACredential: DO

Location Address22201 MOROSS RD STE 150Detroit, MI 48236-2152

Mailing Address22201 Moross Rd Ste 150Detroit, MI 48236-2152 · (313) 343-7110

Phone(313) 343-7110

Sole ProprietorYes

Enumeration DateApril 17, 2023

NPPES CertifiedApril 16, 2023

✔ NPI 1134815764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

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.

22201 MOROSS RD STE 150, Detroit, MI 48236

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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)

Ibrahim Rababa Do 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.

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