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

Active since April 04, 2008
4190 24TH AVE, SUITE 204, FORT GRATIOT, MI 48059(810) 989-7702(810) 989-7703 Get Directions Write a Review

NPPES record last updated: October 19, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Fahim K Ibrahim M.d., P.c. NPPES

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

FAHIM K IBRAHIM M.D., P.C. (NPI 1225201767) is a healthcare organization registered as a specialist in Fort Gratiot, Michigan and active in the NPI registry since April 2008. The organization lists Hania Ibrahim, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1225201767
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameFAHIM K IBRAHIM M.D., P.C.
Location Address4190 24TH AVE, SUITE 204Fort Gratiot, MI 48059-3882
Mailing Address4190 24th Ave, Suite 204Fort Gratiot, MI 48059-3882 · (810) 989-7702 · Fax (810) 989-7703
Phone(810) 989-7702
Fax(810) 989-7703
Organization SubpartNo
Authorized OfficialHania IbrahimOffice Manager · (810) 989-7702
Enumeration DateApril 4, 2008
Last NPPES UpdateOctober 19, 2011
✔ NPI 1225201767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MI · FI067033
Definition
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.
4190 24TH AVE, Fort Gratiot, MI 48059
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Other Identifiers 5

Other180028723MI · Palmetto Gba
Medicare PIN0P24320MI
Other1807400741MI · Blue Cross
Medicare UPINE18704MI
Medicaid3350540MI

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 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)

Fahim K Ibrahim 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 Fahim K Ibrahim M.D., P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Fahim Ibrahim, MD
Ophthalmology
NPI 1376611251
4190 24TH AVE SUITE 204
Fort Gratiot, MI 48059
(810) 989-7702
✔ PECOS✔ Accepts MedicareSame address

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

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 Fahim K Ibrahim M.D., P.C.'s NPI number?

The NPI number for Fahim K Ibrahim M.D., P.C. is 1225201767. It was assigned to this organization in the NPPES registry on April 4, 2008.

Where is Fahim K Ibrahim M.D., P.C. located?

Fahim K Ibrahim M.D., P.C. is located at 4190 24th Ave Suite 204, Fort Gratiot, MI 48059. The listed phone number is (810) 989-7702.

What is Fahim K Ibrahim M.D., P.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Fahim K Ibrahim M.D., P.C. enrolled in Medicare?

Yes. Fahim K Ibrahim M.D., P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fahim K Ibrahim M.D., P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Fahim K Ibrahim 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.

What insurance does Fahim K Ibrahim M.D., P.C. accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Fahim K Ibrahim 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 Fahim K Ibrahim M.D., P.C. was last updated on October 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.