FAHIM K IBRAHIM M.D., P.C.
NPI 1225201767
Specialist in Fort Gratiot, MI

NPI Status: Active since April 04, 2008

Contact Information

4190 24TH AVE
SUITE 204
FORT GRATIOT, MI
ZIP 48059
Phone: (810) 989-7702
Fax: (810) 989-7703

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  • Organization
  • Specialist
  • Accepts Insurance

About FAHIM K IBRAHIM M.D., P.C.

This page provides the complete NPI Profile along with additional information for Fahim K Ibrahim M.d., P.c., a provider established in Fort Gratiot, Michigan operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1225201767 assigned on April 2008. The practitioner's primary taxonomy code is 174400000X with license number FI067033 (MI). The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Hania Ibrahim (Office Manager)

NPI
1225201767
Provider Name
FAHIM K IBRAHIM M.D., P.C.
Entity Type
Organization
Location Address
4190 24TH AVE SUITE 204 FORT GRATIOT, MI 48059
Location Phone
(810) 989-7702
Location Fax
(810) 989-7703
Mailing Address
4190 24TH AVE SUITE 204 FORT GRATIOT, MI 48059
Mailing Phone
(810) 989-7702
Mailing Fax
(810) 989-7703
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-04-2008
Last Update Date
10-19-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
FI067033
License State
MI
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Cross� Premier PPO Bronze Extra - PPO
  • Blue Cross� Premier PPO Bronze Saver HSA - PPO
  • Blue Cross� Premier PPO Bronze Secure - PPO
  • Blue Cross� Premier PPO Gold - PPO
  • Blue Cross� Premier PPO Gold Extra - PPO
  • Blue Cross� Premier PPO Silver - PPO
  • Blue Cross� Premier PPO Silver Extra - PPO
  • Blue Cross� Premier PPO Silver Saver HSA - PPO
  • Blue Cross� Premier PPO Value - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

HANIA IBRAHIM

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(810) 989-7702

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
180028723OTHER (01)MIPALMETTO GBA
0P24320MEDICARE PIN (08)MI 
1807400741OTHER (01)MIBLUE CROSS
E18704MEDICARE UPIN (02)MI 
3350540MEDICAID (05)MI 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1225201767, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
2
Doubled → 4
Pos 4
5
Unchanged
Pos 5
2
Doubled → 4
Pos 6
0
Unchanged
Pos 7
1
Doubled → 2
Pos 8
7
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 2 → 4 1 → 2 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 4 + 5 + 4 + 0 + 2 + 7 + 1 + 2 + 24 = 53

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1225201767.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Endocrinology, Diabetes & Metabolism)
4190 24TH AVE, SUITE:201
FORT GRATIOT, MI 48059
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4190 24TH AVE, SUITE: 201
FORT GRATIOT, MI 48059
Family Medicine
4190 24TH AVE
FORT GRATIOT, MI 48059
Physician Assistant
4190 24TH AVE, SUITE 206
FORT GRATIOT, MI 48059
Nurse Anesthetist, Certified Registered
4190 24TH AVE
FORT GRATIOT, MI 48059
Podiatrist (Foot & Ankle Surgery)
4190 24TH AVE, SUITE 104
FORT GRATIOT, MI 48059
Ophthalmology
4190 24TH AVE, SUITE 204
FORT GRATIOT, MI 48059
Podiatrist (Foot & Ankle Surgery)
4190 24TH AVE, SUITE 104
FORT GRATIOT, MI 48059
Pharmacist
4190 24TH AVE
FORT GRATIOT, MI 48059
Family Medicine
4190 24TH AVE
FORT GRATIOT, MI 48059
Family Medicine
4190 24TH AVE
FORT GRATIOT, MI 48059
Family Medicine
4190 24TH AVE
FORT GRATIOT, MI 48059
Nurse Practitioner (Gerontology)
4190 24TH AVE
FORT GRATIOT, MI 48059
Internal Medicine
4190 24TH AVE, SUITE 206
FORT GRATIOT, MI 48059
Family Medicine
4190 24TH AVE, SUITE 206
FORT GRATIOT, MI 48059
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4190 24TH AVE, SUITE 206
FORT GRATIOT, MI 48059
General Practice
4190 24TH AVE, STE 206
FORT GRATIOT, MI 48059
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4190 24TH AVE, SUITE 206
FORT GRATIOT, MI 48059
Clinic/Center (Ambulatory Surgical)
4190 24TH AVE
FORT GRATIOT, MI 48059
Psychiatry & Neurology (Neurology)
4190 24TH AVE, SUITE 210
FORT GRATIOT, MI 48059

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225201767, enumerated as an "organization" on April 04, 2008.

The provider is located at 4190 24TH AVE SUITE 204 FORT GRATIOT, MI 48059 and the phone number is (810) 989-7702.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Blue Cross Blue Shield of Michigan Mutual. Please consult your insurance carrier or call the provider to verify.