MR. IBRAHIM HUSSEIN DABAJA (PA) – Medical Physician Assistant, NPI 1053592238

MR. IBRAHIM HUSSEIN DABAJA (PA) is a healthcare provider. based in Oak park, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 5601004858 (MI). The NPI Number for MR. IBRAHIM HUSSEIN DABAJA (PA) is 1053592238

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
MR. IBRAHIM HUSSEIN DABAJA (PA)
NPI
1053592238
Phone
(248) 398-4000
Address
24661 COOLIDGE HWY
Enumeration Date
16 November 2007
Deactivation Date
23 April 2021
Reactivation Date
20 May 2021
Last Update Date
19 December 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8108829373
Graduation Year
2006 (20 years ago)
PAC ID
5698865921
Group Practice PAC ID
8123427895
Professional Enrollment ID
I20071226000247
Address ID
MI480594102FO3941XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

6,069 PHYSICIAN ASSISTANT in MI

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Provider Addresses for MR. IBRAHIM HUSSEIN DABAJA (PA)

  • Coolidge Highway, Oak Park, Oakland County, Michigan, 48073, United States

    OAK PARK, MI 482371449

    Phone: (248) 398-4000

    Fax: (248) 398-4141

    Type: Mailing

  • 24661 Coolidge Hwy

    Oak Park, MI 482371449

    Phone: (248) 398-4000

    Fax: (248) 398-4141

    Type: Location

  • 1768 FORD AVE

    WYANDOTTE, MI 481922306

    Phone: (734) 299-0712

    Fax: (734) 574-6060

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $56.

Total Amount is formed as General ($56) + Research ($0) + Ownership ($0) = $56.

Last reported payment date: 2024-07-22 • Largest payer in this snapshot: PFIZER INC. ($56).

Total Amount

$56

General + Research + Ownership

Payments

3

Total payment records

General Amount

$56

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-22

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
PFIZER INC.$56
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-12-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20071226000247IPhysician AssistantMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J1100Injection, dexamethasone sodium phosphate, 1 mg12718$0
99213Established patient office or other outpatient visit, 20-29 minutes8274$0
96372Injection of drug or substance under skin or into muscle5136$0
99214Established patient office or other outpatient visit, 30-39 minutes4545$0
87811Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)4040$0
View full utilization report →

Insurance plans in this area (ZIP 48237)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8123427895View full group profile
NameSpecialtyState
Family PracticeMI
Physician AssistantMI
Physician AssistantMI
Family PracticeMI
Cardiovascular Disease (Cardiology), Internal MedicineMI
Physician AssistantPA
Physician AssistantFL
Nurse PractitionerMI
Physician AssistantMI
Nurse PractitionerMI

Reviews

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Frequently asked questions

What federal number belongs to MR. IBRAHIM HUSSEIN DABAJA (PA)?
The federal identifier for MR. IBRAHIM HUSSEIN DABAJA (PA) is NPI 1053592238.
Is MR. IBRAHIM HUSSEIN DABAJA (PA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is MR. IBRAHIM HUSSEIN DABAJA (PA)?
The page reflects Medical Physician Assistant for MR. IBRAHIM HUSSEIN DABAJA (PA). Clinical services aligned with this taxonomy classification.
What location shows for MR. IBRAHIM HUSSEIN DABAJA (PA)?
We surface Oak Park, Michigan for MR. IBRAHIM HUSSEIN DABAJA (PA) based on available NPPES addresses.
What if Oak Park, Michigan seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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