IBRAHIM MOHEMAD KHALEEL MD
NPI 1194341669
Internal Medicine in Grand Rapids, MI

Q: What is Ibrahim Khaleel's NPI number?

The NPI number for Ibrahim Khaleel is 1194341669. It was assigned to this individual provider in the NPPES registry on June 22, 2020.

Q: What is Ibrahim Khaleel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Ibrahim Khaleel was last updated on July 4, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 22, 2020PECOS Enrolled

2900 BRADFORD ST NE, GRAND RAPIDS, MI 49525(616) 885-5000(616) 885-5020 Get Directions Write a Review

NPPES record last updated: July 4, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 4, 2023, Jun 22, 2020 (2 updates tracked since 2020).

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About Ibrahim Mohemad Khaleel Md NPPES

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

IBRAHIM MOHEMAD KHALEEL MD (NPI 1194341669) is an individual internal medicine provider in Grand Rapids, Michigan, licensed in Michigan (4301509446) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS and is a graduate of Howard University College Of Medicine (2020).

NPPES Registry Identity

NPI1194341669

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameIBRAHIM MOHEMAD KHALEELCredential: MD

Location Address2900 BRADFORD ST NEGrand Rapids, MI 49525-6427

Mailing Address2900 Bradford St NeGrand Rapids, MI 49525-6427 · (616) 885-5000 · Fax (616) 885-5020

Phone(616) 885-5000

Fax(616) 885-5020

Sole ProprietorNo

Medical School CMSHoward University College Of MedicineGraduated 2020

Enumeration DateJune 22, 2020

Last NPPES UpdateJuly 4, 20232 updates tracked since enumeration

NPPES CertifiedJuly 4, 2023

✔ NPI 1194341669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MI · 4301509446

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 4301509446 (MI)

2900 BRADFORD ST NE, Grand Rapids, MI 49525

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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 Mohemad Khaleel Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1456774298

PECOS Enrollment IDI20260507003820

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 49525 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

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.