MR. KHALED ELIAS JIRIES ABAWI M.D
NPI 1588267553
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since November 20, 2020PECOS Enrolled
4201 ST. ANTIONE, DETROIT MEDICAL CENTER, GME OFFICE, DETROIT, MI 48201(313) 966-0463 Get Directions Write a Review

NPPES record last updated: April 25, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 19, 2022, Nov 20, 2020 (2 updates tracked since 2020).

About Mr. Khaled Elias Jiries Abawi M.d NPPES

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

MR. KHALED ELIAS JIRIES ABAWI M.D (NPI 1588267553) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since November 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588267553
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. KHALED ELIAS JIRIES ABAWICredential: M.D
Location Address4201 ST. ANTIONE, DETROIT MEDICAL CENTER, GME OFFICEDetroit, MI 48201
Mailing Address4201 St. Antione, Detroit Medical Center, Gme OfficeDetroit, MI 48201 · (313) 966-0463
Sole ProprietorNo
Enumeration DateNovember 20, 2020
Last NPPES UpdateApril 25, 20232 updates tracked since enumeration
NPPES CertifiedApril 25, 2023
NPI 1588267553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
4201 ST. ANTIONE, DETROIT MEDICAL CENTER, GME OFFICE, 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)

Mr. Khaled Elias Jiries Abawi M.d 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.

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 Khaled Abawi's NPI number?

The NPI number for Khaled Abawi is 1588267553. It was assigned to this individual provider in the NPPES registry on November 20, 2020.

Where is Khaled Abawi located?

Khaled Abawi practices at 4201 St. Antione, Detroit Medical Center, Gme Office, Detroit, MI 48201. The listed phone number is (313) 966-0463.

What is Khaled Abawi's specialty?

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

Is Khaled Abawi enrolled in Medicare?

Yes. Khaled Abawi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Khaled Abawi was last updated on April 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.