Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

RAFIK ISSA MD
NPI 1639860844
Student in an Organized Health Care Education/Training Program in Detroit, MI

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since May 18, 2023PECOS Enrolled

2799 W GRAND BLVD, DETROIT, MI 48202(313) 916-2600 Get Directions Write a Review

NPPES record last updated: June 28, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Rafik Issa Md NPPES

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

RAFIK ISSA MD (NPI 1639860844) is an individual student in an organized health care education/training program in Detroit, Michigan, licensed in Michigan (4301517682) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639860844

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameRAFIK ISSACredential: MD

Location Address2799 W GRAND BLVDDetroit, MI 48202-2608

Mailing Address2799 W Grand BlvdDetroit, MI 48202-2608

Phone(313) 916-2600

Sole ProprietorNo

Enumeration DateMay 18, 2023

Last NPPES UpdateJune 28, 2026

NPPES CertifiedJune 28, 2026

✔ NPI 1639860844 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 · 4301517682

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.

2799 W GRAND BLVD, Detroit, MI 48202

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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)

Rafik Issa 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.