Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. SAMEER YOUSUF EBRAHIM
NPI 1306781869
Student in an Organized Health Care Education/Training Program in Kalamazoo, MI

Active since April 21, 2026PECOS Enrolled
1000 OAKLAND DR, KALAMAZOO, MI 49008(269) 337-4400 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Sameer Yousuf Ebrahim NPPES

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

DR. SAMEER YOUSUF EBRAHIM (NPI 1306781869) is an individual student in an organized health care education/training program in Kalamazoo, Michigan, licensed in Michigan (4351056039) and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306781869
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. SAMEER YOUSUF EBRAHIM
Location Address1000 OAKLAND DRKalamazoo, MI 49008-1282
Mailing Address101 Windsorgate WaySimpsonville, SC 29681-3698
Sole ProprietorNo
Enumeration DateApril 21, 2026
Last NPPES UpdateJune 23, 2026
NPPES CertifiedJune 23, 2026
NPI 1306781869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in MI · 4351056039
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.
1000 OAKLAND DR, Kalamazoo, MI 49008

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Sameer Yousuf Ebrahim 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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
1000 OAKLAND DR
KALAMAZOO, MI 49008
Student in an Organized Health Care Education/Training Program
1000 OAKLAND DR
KALAMAZOO, MI 49008
Student in an Organized Health Care Education/Training Program
1000 OAKLAND DR
KALAMAZOO, MI 49008
Student in an Organized Health Care Education/Training Program
1000 OAKLAND DR
KALAMAZOO, MI 49008
Pediatrics (Pediatric Endocrinology)
1000 OAKLAND DR
KALAMAZOO, MI 49008
Emergency Medicine
1000 OAKLAND DR
KALAMAZOO, MI 49008
Emergency Medicine
1000 OAKLAND DR
KALAMAZOO, MI 49008
Student in an Organized Health Care Education/Training Program
1000 OAKLAND DR
KALAMAZOO, MI 49008

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 Sameer Ebrahim's NPI number?

The NPI number for Sameer Ebrahim is 1306781869. It was assigned to this individual provider in the NPPES registry on April 21, 2026.

Where is Sameer Ebrahim located?

Sameer Ebrahim practices at 1000 Oakland Dr, Kalamazoo, MI 49008. The listed phone number is (269) 337-4400.

What is Sameer Ebrahim's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Sameer Ebrahim enrolled in Medicare?

Yes. Sameer Ebrahim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sameer Ebrahim was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 days 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.