AHMED IBRAHIM ELDEWAK MD
NPI 1992642730
Student in an Organized Health Care Education/Training Program in Jackson, MI

Q: What is Ahmed Eldewak's NPI number?

The NPI number for Ahmed Eldewak is 1992642730. It was assigned to this individual provider in the NPPES registry on April 30, 2026.

Q: What is Ahmed Eldewak's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ahmed Eldewak was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 April 30, 2026PECOS Enrolled

205 N EAST AVE, JACKSON, MI 49201(313) 916-1601 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Ahmed Ibrahim Eldewak Md NPPES

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

AHMED IBRAHIM ELDEWAK MD (NPI 1992642730) is an individual student in an organized health care education/training program in Jackson, Michigan, licensed in Michigan (4351056287) and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992642730

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameAHMED IBRAHIM ELDEWAKCredential: MD

Location Address205 N EAST AVEJackson, MI 49201-1753

Mailing Address205 N East AveJackson, MI 49201-1753

Phone(313) 916-1601

Sole ProprietorNo

Enumeration DateApril 30, 2026

NPPES CertifiedApril 30, 2026

✔ NPI 1992642730 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 · 4351056287

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.

205 N EAST AVE, Jackson, MI 49201

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ahmed Ibrahim Eldewak 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.

SAMANTHA RENE DANEK PA-C

Physician Assistant