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DR. ABDAL-RAHMAN IBRAHIM EL-MALLAH MD
NPI 1750956652
Family Medicine in Dearborn, MI

Active since May 24, 2021PECOS Enrolled
12700 S MORROW CIR, DEARBORN, MI 48126(313) 623-4910 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 10, 2025, Apr 4, 2025, Jul 3, 2021 and 1 more (4 updates tracked since 2021).

About Dr. Abdal-rahman Ibrahim El-mallah Md NPPES

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

DR. ABDAL-RAHMAN IBRAHIM EL-MALLAH MD (NPI 1750956652) is an individual family medicine provider in Dearborn, Michigan, licensed in Michigan (4351048550) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Southfield, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1750956652
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ABDAL-RAHMAN IBRAHIM EL-MALLAHCredential: MD
Location Address12700 S MORROW CIRDearborn, MI 48126-1552
Mailing Address12700 S Morrow CirDearborn, MI 48126-1552 · (313) 623-4910
Phone(313) 623-4910
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 24, 2021
Last NPPES UpdateApril 10, 20254 updates tracked since enumeration
NPPES CertifiedApril 10, 2025
✔ NPI 1750956652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4351048550
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
12700 S MORROW CIR, Dearborn, MI 48126
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Other Names 1

Other Name (5)Dr. Abd Al Rahman Ibrahim El-mallah Md

Secondary Practice Location 1

Location 122250 Providence Drive, Suite #557Southfield, MI 48075-4818 · Phone (248) 849-3447 · Fax (248) 849-8021

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Abdal-rahman Ibrahim El-mallah Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7517360258
PECOS Enrollment IDI20250428003946
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48126 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

YAHYA ELMALLAH DDS
Dentist (General Practice)
12700 S MORROW CIR
DEARBORN, MI 48126
Wayne County (313) 585-8449

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 Abdal-rahman El-mallah's NPI number?

The NPI number for Abdal-rahman El-mallah is 1750956652. It was assigned to this individual provider in the NPPES registry on May 24, 2021. The provider is also known as Dr. Abd Al Rahman Ibrahim El-Mallah MD.

Where is Abdal-rahman El-mallah located?

Abdal-rahman El-mallah practices at 12700 S Morrow Cir, Dearborn, MI 48126. The listed phone number is (313) 623-4910.

What is Abdal-rahman El-mallah's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Abdal-rahman El-mallah enrolled in Medicare?

Yes. Abdal-rahman El-mallah is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Abdal-rahman El-mallah was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.