IBTESAM M RAFEEA M D P C
NPI 1184067829
Pediatrics in Dearborn, MI

Q: What is Ibtesam M Rafeea M D P C's NPI number?

The NPI number for Ibtesam M Rafeea M D P C is 1184067829. It was assigned to this organization in the NPPES registry on April 11, 2013.

Q: What is Ibtesam M Rafeea M D P C's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since April 11, 2013CLIA 23D2066876 · Waiver

5245 SCHAEFER RD STE C, DEARBORN, MI 48126(313) 914-3036(313) 908-2247 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 5, 2026, Dec 18, 2024 (2 updates tracked since 2024).

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About Ibtesam M Rafeea M D P C NPPES

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

IBTESAM M RAFEEA M D P C (NPI 1184067829) is a healthcare organization registered as a pediatrics in Dearborn, Michigan and active in the NPI registry since April 2013. The organization holds a CLIA Waiver certificate valid through October 3, 2027 and lists Ibtesam M Rafeea, President, as its authorized official.

NPPES Registry Identity

NPI1184067829

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameIBTESAM M RAFEEA M D P C

Location Address5245 SCHAEFER RD STE CDearborn, MI 48126-3257

Mailing Address5245 Schaefer Rd Ste CDearborn, MI 48126-3257 · (313) 914-3036 · Fax (313) 908-2247

Phone(313) 914-3036

Fax(313) 908-2247

Organization SubpartNo

Authorized OfficialIbtesam M RafeeaPresident · (951) 992-7156

Enumeration DateApril 11, 2013

Last NPPES UpdateAugust 5, 20262 updates tracked since enumeration

NPPES CertifiedAugust 5, 2026

✔ NPI 1184067829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MI · 4301085086

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X

5245 SCHAEFER RD STE C, Dearborn, MI 48126

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ibtesam M Rafeea M D P C is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Ibtesam M Rafeea M D P C, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ibtesam Rafeea, M.D.

Pediatric Medicine

NPI 1740255306

5266 SCHAEFER RD
Dearborn, MI 48126

(313) 914-3036

✔ PECOSSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2066876

Ibtesam M Rafeea MD PC · Dearborn, MI

Active · expires Oct 3, 2027

CLIA Number23D2066876

Laboratory TypePhysician Office

Certificate Effective DateOctober 4, 2025

Certificate Expiration DateOctober 3, 2027

Laboratory DirectorIbtesam M. Rafeea

Laboratory Phone(313) 914-3036

Laboratory LocationIbtesam M Rafeea MD PC5266 Schaefer Road, Dearborn, MI 48126

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Ibtesam M Rafeea M D P C's NPI number?

The NPI number for Ibtesam M Rafeea M D P C is 1184067829. It was assigned to this organization in the NPPES registry on April 11, 2013.

Where is Ibtesam M Rafeea M D P C located?

Ibtesam M Rafeea M D P C is located at 5245 Schaefer Rd Ste C, Dearborn, MI 48126. The listed phone number is (313) 914-3036.

What is Ibtesam M Rafeea M D P C's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Ibtesam M Rafeea M D P C enrolled in Medicare?

Yes. Ibtesam M Rafeea M D P C is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ibtesam M Rafeea M D P C?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pediatric Medicine) reassigns their Medicare billing to Ibtesam M Rafeea M D P C. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Ibtesam M Rafeea M D P C hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2066876) is associated with this NPI, valid through October 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ibtesam M Rafeea M D P C accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Ibtesam M Rafeea M D P C as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ibtesam M Rafeea M D P C was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.