IHAB JUBRAN MD
NPI 1649360645
Pediatrics - Neonatal-Perinatal Medicine in Detroit, MI

Q: What is Ihab Jubran's NPI number?

The NPI number for Ihab Jubran is 1649360645. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Q: What is Ihab Jubran's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for Ihab Jubran was last updated on October 5, 2022. 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.

Active since October 13, 2006PECOS Enrolled

2799 W GRAND BLVD, DETROIT, MI 48202(800) 653-6256 Get Directions Write a Review

NPPES record last updated: October 5, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 5, 2022, Sep 15, 2022 (2 updates tracked since 2022).

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About Ihab Jubran Md NPPES

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

IHAB JUBRAN MD (NPI 1649360645) is an individual neonatal-perinatal medicine provider in Detroit, Michigan, licensed in Michigan (4301111677) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649360645

Entity TypeIndividualMale

Primary Taxonomy2080N0001X

Provider Legal NameIHAB JUBRANCredential: MD

Location Address2799 W GRAND BLVDDetroit, MI 48202-2608

Mailing Address1 Ford Pl Ste 3aDetroit, MI 48202-3450 · (313) 874-4806

Phone(800) 653-6256

Sole ProprietorNo

Enumeration DateOctober 13, 2006

Last NPPES UpdateOctober 5, 20222 updates tracked since enumeration

NPPES CertifiedOctober 5, 2022

✔ NPI 1649360645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in MI · 4301111677

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Also ListedPediatricsTaxonomy 208000000X · License 27575 (AL)

2799 W GRAND BLVD, Detroit, MI 48202

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Other Identifiers 5

Other51538078AL · Bcbs Springhill Ave

Medicaid009939897AL

Medicaid277115200FL

Medicaid04377591MS

Other51538077AL · Bcbs Center St

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, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ihab Jubran 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 20

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

HENRY FORD HOSPITAL

General Acute Care Hospital