1. Home
  2. Directory
  3. Michigan
  4. Royal Oak
  5. Nurse Practitioner
  6. NPI Profile

AMJAD IBRAHIM
NPI 1487534889
Nurse Practitioner - Psychiatric/Mental Health in Royal Oak, MI

Active since September 05, 2025PECOS EnrolledAccepts Medicare Assignment
220 S MAIN ST, ROYAL OAK, MI 48067(248) 216-4704(947) 245-4212 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Amjad Ibrahim NPPES

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

AMJAD IBRAHIM (NPI 1487534889) is an individual psychiatric/mental health provider in Royal Oak, Michigan, licensed in Michigan (4704311666) and active in the NPI registry since September 2025. He is enrolled in Medicare PECOS, maintains a secondary practice location in East Lansing, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1487534889
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameAMJAD IBRAHIM
Location Address220 S MAIN STRoyal Oak, MI 48067-2676
Mailing Address2969 Orchard PlOrchard Lake, MI 48324-2362 · (248) 755-8585
Phone(248) 216-4704
Fax(947) 245-4212
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 5, 2025
Last NPPES UpdateJuly 2, 2026
NPPES CertifiedJuly 2, 2026
✔ NPI 1487534889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MI · 4704311666
220 S MAIN ST, Royal Oak, MI 48067
Open in Google Maps ↗

Secondary Practice Location 1

Location 11355 Bogue StEast Lansing, MI 48824-6207 · Phone (800) 605-6424

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amjad Ibrahim is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123585759
PECOS Enrollment IDI20260804002622
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.

Medicare Billing Reassignment

Medicare enrollment records show Amjad Ibrahim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Elevate Wellness Group
4.9 mi
Family
1221 BOWERS ST UNIT 170
Birmingham, MI 48012
  • Reassigned Medicare billing, Michigan enrollment
  • 19 clinicians in this Medicare group
NPI 1255192712 (248) 755-8585

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48067 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JEROME JD HUNLEY
Community Health Worker
220 S MAIN ST
ROYAL OAK, MI 48067
Oakland County (313) 466-4271
SABRINA HALL
Counselor (Mental Health)
220 S MAIN ST
ROYAL OAK, MI 48067
Oakland County (248) 886-9548
DR. CHRIS ALLEN SHREVE PHD PLLC
Counselor (Mental Health)
220 S MAIN ST
ROYAL OAK, MI 48067
Oakland County (313) 587-7388
THE STUDENT WELLNESS CO. LLC
Counselor (Professional)
220 S MAIN ST
ROYAL OAK, MI 48067
Oakland County (248) 671-6649
HEATHER MARIE ZINTSMASTER STUDENT LLPC/LPC
Counselor (Mental Health)
220 S MAIN ST
ROYAL OAK, MI 48067
Oakland County (833) 217-7636
CAROLYN MIRRETTI LMSW
Social Worker (Clinical)
220 S MAIN ST
ROYAL OAK, MI 48067
Oakland County (313) 251-2507
JAHLEEL HUNLEY
Community Health Worker
220 S MAIN ST
ROYAL OAK, MI 48067
Oakland County (313) 466-4271
MS. KAMALA RAJNI ILG
Counselor (Mental Health)
220 S MAIN ST
ROYAL OAK, MI 48067
Oakland County (833) 217-7636

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 Amjad Ibrahim's NPI number?

The NPI number for Amjad Ibrahim is 1487534889. It was assigned to this individual provider in the NPPES registry on September 5, 2025.

Where is Amjad Ibrahim located?

Amjad Ibrahim practices at 220 S Main St, Royal Oak, MI 48067. The listed phone number is (248) 216-4704.

What is Amjad Ibrahim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Amjad Ibrahim enrolled in Medicare?

Yes. Amjad Ibrahim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Amjad Ibrahim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amjad Ibrahim reassigns Medicare benefits to Elevate Wellness Group (Birmingham, MI). The 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 Amjad Ibrahim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amjad Ibrahim accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and UnitedHealthcare list Amjad Ibrahim 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 Amjad Ibrahim was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.