Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

IBRAHIM ASHFAQ MD
NPI 1629994512
Student in an Organized Health Care Education/Training Program in Port Huron, MI

Active since June 25, 2026PECOS Enrolled
1313 STONE ST, PORT HURON, MI 48060(810) 985-2620 Get Directions Write a Review

NPPES record added: June 25, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ibrahim Ashfaq Md NPPES

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

IBRAHIM ASHFAQ MD (NPI 1629994512) is an individual student in an organized health care education/training program in Port Huron, Michigan, licensed in Michigan (4351055986) and active in the NPI registry since June 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629994512
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameIBRAHIM ASHFAQCredential: MD
Location Address1313 STONE STPort Huron, MI 48060-3520
Mailing Address1313 Stone StPort Huron, MI 48060-3520 · (810) 985-2620
Sole ProprietorNo
Enumeration DateJune 25, 2026
NPPES CertifiedJune 25, 2026
NPI 1629994512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in MI · 4351055986
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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ibrahim Ashfaq 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.

Student in an Organized Health Care Education/Training Program
1313 STONE ST
PORT HURON, MI 48060
Obstetrics & Gynecology
1313 STONE ST
PORT HURON, MI 48060
Student in an Organized Health Care Education/Training Program
1313 STONE ST
PORT HURON, MI 48060
Student in an Organized Health Care Education/Training Program
1313 STONE ST
PORT HURON, MI 48060
Student in an Organized Health Care Education/Training Program
1313 STONE ST
PORT HURON, MI 48060
Obstetrics & Gynecology
1313 STONE ST
PORT HURON, MI 48060
Student in an Organized Health Care Education/Training Program
1313 STONE ST
PORT HURON, MI 48060
Student in an Organized Health Care Education/Training Program
1313 STONE ST
PORT HURON, MI 48060

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 Ibrahim Ashfaq's NPI number?

The NPI number for Ibrahim Ashfaq is 1629994512. It was assigned to this individual provider in the NPPES registry on June 25, 2026.

Where is Ibrahim Ashfaq located?

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

What is Ibrahim Ashfaq's specialty?

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

Is Ibrahim Ashfaq enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Ibrahim Ashfaq was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 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.