DR. RAMI BOUTROS IBRAHIM PHARMD, DO
NPI 1477651289
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since September 20, 2006PECOS Enrolled
4201 ST. ANTOINE, UHC 9C, DETROIT, MI 48201(313) 745-5147(313) 966-0880 Get Directions Write a Review

NPPES record last updated: May 23, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Rami Boutros Ibrahim Pharmd, Do NPPES

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

DR. RAMI BOUTROS IBRAHIM PHARMD, DO (NPI 1477651289) is an individual student in an organized health care education/training program in Detroit, Michigan, licensed in Michigan (5151013993) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477651289
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. RAMI BOUTROS IBRAHIMCredential: PHARMD, DO
Location Address4201 ST. ANTOINE, UHC 9CDetroit, MI 48201-1427
Mailing Address4201 St. Antoine, Uhc 9cDetroit, MI 48201-1427 · (313) 745-5147 · Fax (313) 966-0880
Fax(313) 966-0880
Sole ProprietorNo
Enumeration DateSeptember 20, 2006
Last NPPES UpdateMay 23, 2019
NPI 1477651289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Taxonomy Code390200000X
License Licensed in MI · 5151013993
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.
Also ListedPharmacistTaxonomy 183500000X · License 5302031866 (MI)
Also ListedPharmacist · PharmacotherapyTaxonomy 1835P1200X · License 5302031866 (MI)
4201 ST. ANTOINE, Detroit, MI 48201

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. Rami Boutros Ibrahim Pharmd, Do 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
4201 ST. ANTOINE, 5E-UHC
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
4201 ST. ANTOINE, UHC-9C DETROIT MEDICAL CENTER- GME OFFICE
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
4201 ST. ANTOINE, UHC-9C
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
4201 ST. ANTOINE, UHC 9C
DETROIT, MI 48201
Nurse Practitioner (Adult Health)
4201 ST. ANTOINE, SUITE 8A
DETROIT, MI 48201
Nurse Practitioner (Adult Health)
4201 ST. ANTOINE, UHC
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
4201 ST. ANTOINE
DETROIT, MI 48201
Internal Medicine
4201 ST. ANTOINE, UHC-2E
DETROIT, MI 48201

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 Rami Ibrahim's NPI number?

The NPI number for Rami Ibrahim is 1477651289. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Rami Ibrahim located?

Rami Ibrahim practices at 4201 St. Antoine Uhc 9C, Detroit, MI 48201. The listed phone number is (313) 745-5147.

What is Rami Ibrahim's specialty?

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

Is Rami Ibrahim enrolled in Medicare?

Yes. Rami Ibrahim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Rami Ibrahim was last updated on May 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.