| Dr Kamal Musa Ibrahim, MD | |
|
6001 W Outer Dr, Suite 320, Detroit, MI 48235-2614 | |
| (313) 397-1907 | |
| Not Available |
| Full Name | Dr Kamal Musa Ibrahim |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 39 Years |
| Location | 6001 W Outer Dr, Detroit, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205862067 | NPI | - | NPPES |
| 1108249142 | Other | MI | BCBS |
| KI073747 | Other | MI | BLUE SHIELD |
| 473188110 | Medicaid | MI | |
| P00226506 | Other | MI | RR MEDICARE |
| 4713453 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301073747 (Michigan) | Secondary |
| 208M00000X | Hospitalist | 51399 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Vista Medical Center East | Waukegan, IL | Hospital |
| Methodist Hospital | Henderson, KY | Hospital |
| Heartland Regional Medical Center | Marion, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Deaconess Hospital, Inc. | 9032021431 | 382 |
| Waukegan Clinic Corp | 4284631086 | 58 |
| Entity Name | Community Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306983762 PECOS PAC ID: 7012811284 Enrollment ID: O20031120000656 |
| Entity Name | Methodist Health, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679718100 PECOS PAC ID: 4981508454 Enrollment ID: O20031204000875 |
| Entity Name | Southeastern Physician Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20090715000150 |
| Entity Name | Kings Daughters Medical Specialties Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710215736 PECOS PAC ID: 6103968029 Enrollment ID: O20100217000538 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kamal Musa Ibrahim, MD Po Box 871400, Canton, MI 48187-7300 Ph: (313) 397-1907 | Dr Kamal Musa Ibrahim, MD 6001 W Outer Dr, Suite 320, Detroit, MI 48235-2614 Ph: (313) 397-1907 |
Geoffrey Prysak, MD, MPH Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 | |
Ayman Founas, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Cfp-417, Detroit, MI 48202 Phone: 313-916-2600 | |
Dr. Mohammad Mustafa Qaqi, M.D. Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 6071 W Outer Dr, Detroit, MI 48235 Phone: 313-966-3189 | |
Joseph Pyles Ii, DO Hospitalist Medicare: Medicare Enrolled Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 | |
Mohamad Alkhatib, Hospitalist Medicare: Medicare Enrolled Practice Location: 3990 John R St, Detroit, MI 48201 Phone: 313-745-7233 | |
Dr. Kaled Bazzi, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Department Of Internal Medicine, Detroit, MI 48202 Phone: 313-916-1828 | |
Garrett Clark Martin, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 13901 E Jefferson Ave, Detroit, MI 48215 Phone: 313-822-0900 Fax: 313-822-0950 |