DR. MOHAMMAD IBRAHIM DO
NPI 1962024968
Family Medicine - Sports Medicine in Dearborn, MI

Q: What is Mohammad Ibrahim's NPI number?

The NPI number for Mohammad Ibrahim is 1962024968. It was assigned to this individual provider in the NPPES registry on May 12, 2020.

Q: What is Mohammad Ibrahim's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Mohammad Ibrahim was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since May 12, 2020PECOS EnrolledAccepts Medicare Assignment

1022 N TELEGRAPH RD STE 2, DEARBORN, MI 48128(313) 764-0088(313) 254-3586 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 5, 2025, Jun 6, 2024, Apr 16, 2021 and 2 more (5 updates tracked since 2020).

On this page

About Dr. Mohammad Ibrahim Do NPPES

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

DR. MOHAMMAD IBRAHIM DO (NPI 1962024968) is an individual sports medicine provider in Dearborn, Michigan, licensed in Michigan (5101027367) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Michigan State University College Of Osteopathic Medicine (2020).

NPPES Registry Identity

NPI1962024968

Entity TypeIndividualMale

Primary Taxonomy207QS0010X

Provider Legal NameDR. MOHAMMAD IBRAHIMCredential: DO

Location Address1022 N TELEGRAPH RD STE 2Dearborn, MI 48128-1622

Mailing Address1022 N Telegraph Rd Ste 2Dearborn, MI 48128-1622 · (313) 764-0088 · Fax (313) 254-3586

Phone(313) 764-0088

Fax(313) 254-3586

Sole ProprietorNo

Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2020

Enumeration DateMay 12, 2020

Last NPPES UpdateAugust 5, 20255 updates tracked since enumeration

NPPES CertifiedAugust 5, 2025

✔ NPI 1962024968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in MI · 5101027367

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 5101027367 (MI)

1022 N TELEGRAPH RD STE 2, Dearborn, MI 48128

Open in Google Maps ↗

Secondary Practice Locations 3

Location 1205 N East AveJackson, MI 49201-1753 · Phone (517) 205-3964

Location 27575 Grand River Rd Ste 209Brighton, MI 48114-9379 · Phone (810) 844-7950

Location 35900 Byron Center Ave SWWyoming, MI 49519-9606 · Phone (616) 252-7389

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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 and accepts Medicare assignment

Dr. Mohammad Ibrahim Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476978313

PECOS Enrollment IDI20251015003613

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 48128 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.

ELITE SPORTS & REGENERATIVE MEDICINE PLLC

Family Medicine (Sports Medicine)

1022 N TELEGRAPH RD STE 2
DEARBORN, MI 48128

Wayne County (313) 764-0088

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 Mohammad Ibrahim's NPI number?

The NPI number for Mohammad Ibrahim is 1962024968. It was assigned to this individual provider in the NPPES registry on May 12, 2020.

Where is Mohammad Ibrahim located?

Mohammad Ibrahim practices at 1022 N Telegraph Rd Ste 2, Dearborn, MI 48128. The listed phone number is (313) 764-0088.

What is Mohammad Ibrahim's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Mohammad Ibrahim enrolled in Medicare?

Yes. Mohammad Ibrahim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mohammad Ibrahim accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Mohammad Ibrahim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mohammad Ibrahim was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.