ELMOATAZ IBRAHIM (M.D.) – Neurology Physician, NPI 1285883371

ELMOATAZ IBRAHIM (M.D.) is a healthcare provider. based in Southfield, Michigan. specializing in NEUROLOGY. They hold the professional credentials M.D.. They hold a License No. 4301094678 (MI). The NPI Number for ELMOATAZ IBRAHIM (M.D.) is 1285883371

Main info

Male
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
ELMOATAZ IBRAHIM (M.D.)
NPI
1285883371
Phone
(248) 357-5000
Address
29984 Telegraph Rd
Enumeration Date
12 September 2008
Last Update Date
23 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9897294206
Graduation Year
2004 (22 years ago)
PAC ID
2163693060
Group Practice PAC ID
8527976497
Professional Enrollment ID
I20110927000032
Address ID
MI486031375SA4200XBLVD402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience77
Completeness75
Years active:17State licenses:2Digital endpointsOther names

964 NEUROLOGY in MI

Provider Addresses for ELMOATAZ IBRAHIM (M.D.)

  • 29984 Telegraph Rd

    Southfield, MI 480341355

    Phone: (248) 357-5000

    Type: Location

  • 21925 RATHLONE DR

    NORTHVILLE, MI 481672842

    Phone: (612) 298-1580

    Type: Mailing

  • 43781 STONEY LN

    STERLING HEIGHTS, MI 483132259

    Phone: (586) 263-0610

    Type: Mailing

  • 15945, 19 Mile Road, Clinton Township, Macomb County, Michigan, 48038, United States

    CLINTON TOWNSHIP, MI 480381147

    Phone: (586) 263-0610

    Fax: (586) 263-0834

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $253.

Total Amount is formed as General ($253) + Research ($0) + Ownership ($0) = $253.

Last reported payment date: 2024-10-24 • Largest payer in this snapshot: ABBVIE INC. ($51).

Total Amount

$253

General + Research + Ownership

Payments

10

Total payment records

General Amount

$253

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-24

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2011-09-27

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
I20110927000032INeurologyMITBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes13278$0
99214Established patient office or other outpatient visit, 30-39 minutes7939$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes5958$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes2525$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2116$0
View full utilization report →

Insurance plans in this area (ZIP 48034)

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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

How is ELMOATAZ IBRAHIM (M.D.) identified in CMS data?
CMS-hosted NPPES data lists ELMOATAZ IBRAHIM (M.D.) with NPI 1285883371.
Does CMS list ELMOATAZ IBRAHIM (M.D.) as active?
Yes — ELMOATAZ IBRAHIM (M.D.) is active in the NPI listing used on this page.
What is ELMOATAZ IBRAHIM (M.D.)'s primary classification?
Neurology Physician is the headline specialty for ELMOATAZ IBRAHIM (M.D.) here. Clinical services aligned with this taxonomy classification.
What area does ELMOATAZ IBRAHIM (M.D.) serve?
ELMOATAZ IBRAHIM (M.D.)'s listing highlights Southfield, Michigan; more addresses can appear in NPPES.
Why does ELMOATAZ IBRAHIM (M.D.) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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