EBRAHIM ABDELRAZZAK (MD) – Pulmonary Disease Physician, NPI 1215458922

EBRAHIM ABDELRAZZAK (MD) is a healthcare provider. based in Owosso, Michigan. specializing in INTERNAL MEDICINE, PULMONARY DISEASE. They hold the professional credentials MD. They hold a License No. 4301112924 (MI). The NPI Number for EBRAHIM ABDELRAZZAK (MD) is 1215458922

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
EBRAHIM ABDELRAZZAK (MD)
NPI
1215458922
Phone
(989) 729-4071
Address
826 W King St Ste 200
Enumeration Date
3 July 2017
Last Update Date
29 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5176253004
Graduation Year
2017 (9 years ago)
PAC ID
4688945264
Group Practice PAC ID
8527976497
Professional Enrollment ID
I20210205001581
Address ID
MI488729706PE3337XRDXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:8State licenses:2Digital endpointsOther names

7,218 INTERNAL MEDICINE in MI

Provider Addresses for EBRAHIM ABDELRAZZAK (MD)

  • 826 W King St Ste 200

    Owosso, MI 488672120

    Phone: (989) 729-4071

    Type: Location

  • McLaren Flint, 401, South Ballenger Highway, Flint, Genesee County, Michigan, 48532, United States

    FLINT, MI 485323638

    Phone:

    Type: Mailing

  • G3230 BEECHER RD STE 2

    FLINT, MI 485323604

    Phone: (810) 342-5800

    Type: Location

  • 802 W KING ST STE J

    OWOSSO, MI 488672100

    Phone: (989) 729-4071

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 30 Open Payments records for all available years, with a total value of $1,174.

Total Amount is formed as General ($1,174) + Research ($0) + Ownership ($0) = $1,174.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($308).

Total Amount

$1,174

General + Research + Ownership

Payments

30

Total payment records

General Amount

$1,174

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

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: 2021-02-05

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
I20210205001581IInternal MedicineMITBD

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes111101$0
View full utilization report →

Insurance plans in this area (ZIP 48867)

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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: 8527976497View full group profile
NameSpecialtyState
Physician AssistantMI
A N E S T H E S I O L O G YIL
Internal MedicineMI
Nurse PractitionerMI
-MI
Physician AssistantMI
-MI
Nurse PractitionerMI
Internal Medicine, Geriatric MedicineMI
Physician AssistantMI

Reviews

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Frequently asked questions

Does EBRAHIM ABDELRAZZAK (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — EBRAHIM ABDELRAZZAK (MD) uses 1215458922.
Does the file indicate EBRAHIM ABDELRAZZAK (MD) is practicing under active NPI?
Directory data currently reports EBRAHIM ABDELRAZZAK (MD) as active.
What is EBRAHIM ABDELRAZZAK (MD) best known for clinically?
Directory data describes EBRAHIM ABDELRAZZAK (MD) with Pulmonary Disease Physician. Clinical services aligned with this taxonomy classification.
Where is EBRAHIM ABDELRAZZAK (MD) based?
EBRAHIM ABDELRAZZAK (MD) is tied to Owosso, Michigan in the data we show; additional addresses may exist on the full record.
Is the information about EBRAHIM ABDELRAZZAK (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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