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MARINA IBRAHIM MD
NPI 1497599161
Student in an Organized Health Care Education/Training Program in Port Huron, MI

Active since June 19, 2024PECOS Enrolled
1313 STONE ST, PORT HURON, MI 48060(810) 985-2620(810) 962-8290 Get Directions Write a Review

NPPES record last updated: June 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marina Ibrahim Md NPPES

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

MARINA IBRAHIM MD (NPI 1497599161) is an individual student in an organized health care education/training program in Port Huron, Michigan, licensed in Michigan (4351053668) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497599161
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMARINA IBRAHIMCredential: MD
Location Address1313 STONE STPort Huron, MI 48060-3520
Mailing Address1313 Stone StPort Huron, MI 48060-3520 · (810) 985-2620 · Fax (810) 962-8290
Phone(810) 985-2620
Fax(810) 962-8290
Sole ProprietorNo
Enumeration DateJune 19, 2024
NPPES CertifiedJune 19, 2024
✔ NPI 1497599161 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
License✔ Licensed in MI · 4351053668
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.
1313 STONE ST, Port Huron, MI 48060
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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)

Marina Ibrahim 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.

Other Providers at the Same Location NPPES 17

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

TOCHUKWU NWOSA MD
Student in an Organized Health Care Education/Training Program
1313 STONE ST
PORT HURON, MI 48060
St. Clair County (810) 985-2640
DR. ERIC JAMES HARTMAN M.D.
Obstetrics & Gynecology
1313 STONE ST
PORT HURON, MI 48060
St. Clair County (810) 984-3181
SUMANPREET DHALIWAL MD
Student in an Organized Health Care Education/Training Program
1313 STONE ST
PORT HURON, MI 48060
St. Clair County (810) 985-2620
LABIB JOUMAA MD
Student in an Organized Health Care Education/Training Program
1313 STONE ST
PORT HURON, MI 48060
St. Clair County (810) 985-2620
BLUE WATER OB & GYN PC
Obstetrics & Gynecology
1313 STONE ST
PORT HURON, MI 48060
St. Clair County (810) 984-3559
MARIA FATIMA MD
Student in an Organized Health Care Education/Training Program
1313 STONE ST
PORT HURON, MI 48060
St. Clair County (810) 985-2620
MISS KINJAL KASBAWALA M.D.
Student in an Organized Health Care Education/Training Program
1313 STONE ST
PORT HURON, MI 48060
St. Clair County (810) 985-2620
IBRAHIM ASHFAQ MD
Student in an Organized Health Care Education/Training Program
1313 STONE ST
PORT HURON, MI 48060
St. Clair County (810) 985-2620

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 Marina Ibrahim's NPI number?

The NPI number for Marina Ibrahim is 1497599161. It was assigned to this individual provider in the NPPES registry on June 19, 2024.

Where is Marina Ibrahim located?

Marina Ibrahim practices at 1313 Stone St, Port Huron, MI 48060. The listed phone number is (810) 985-2620.

What is Marina 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 Marina Ibrahim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Marina Ibrahim was last updated on June 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.