NOOR RAED KHALEEL ALBARAQ MD
NPI 1225825433
Student in an Organized Health Care Education/Training Program in Detroit, MI

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 22, 2025PECOS Enrolled

19460 GRAND RIVER AVE, DETROIT, MI 48223(313) 387-1097 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Noor Raed Khaleel Albaraq Md NPPES

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

NOOR RAED KHALEEL ALBARAQ MD (NPI 1225825433) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225825433

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameNOOR RAED KHALEEL ALBARAQCredential: MD

Location Address19460 GRAND RIVER AVEDetroit, MI 48223

Mailing Address19460 Grand River AveDetroit, MI 48223 · (313) 387-1097

Phone(313) 387-1097

Sole ProprietorNo

Enumeration DateApril 22, 2025

Last NPPES UpdateSeptember 25, 2025

NPPES CertifiedSeptember 25, 2025

✔ NPI 1225825433 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.

19460 GRAND RIVER AVE, Detroit, MI 48223

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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)

Noor Raed Khaleel Albaraq Md 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.