JOHN-MINA IBRAHIM (M.D.) – Emergency Medicine Physician, NPI 1740484369

JOHN-MINA IBRAHIM (M.D.) is a healthcare provider. based in Bloomfield hills, Michigan. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 4301086042 (MI). The NPI Number for JOHN-MINA IBRAHIM (M.D.) is 1740484369

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
JOHN-MINA IBRAHIM (M.D.)
NPI
1740484369
Phone
(248) 703-5659
Address
1598 OLD CHATHAM DR
Enumeration Date
14 June 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2484654210
Graduation Year
2005 (21 years ago)
PAC ID
6103994934
Group Practice PAC ID
3577603604
Professional Enrollment ID
I20081007000615
Address ID
MI483741233NO47601AVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

3,157 EMERGENCY MEDICINE in MI

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Provider Addresses for JOHN-MINA IBRAHIM (M.D.)

  • 1598 OLD CHATHAM DR

    BLOOMFIELD HILLS, MI 483041040

    Phone: (248) 703-5659

    Type: Mailing

  • Henry Ford Hospital, 2799, West Grand Boulevard, New Center, Detroit, Wayne County, Michigan, 48202, United States

    DETROIT, MI 482022608

    Phone: (313) 916-1553

    Type: Location

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 $352.

Total Amount is formed as General ($352) + Research ($0) + Ownership ($0) = $352.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($241).

Total Amount

$352

General + Research + Ownership

Payments

3

Total payment records

General Amount

$352

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

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: 2008-10-07

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
I20081007000615IEmergency 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
99285Emergency department visit with high level of medical decision making103103$0
99284Emergency department visit with moderate level of medical decision making5655$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only4847$0
99291Critical care, first 30-74 minutes3030$0
99283Emergency department visit with low level of medical decision making1111$0
View full utilization report →

Insurance plans in this area (ZIP 48304)

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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: 3577603604View full group profile
NameSpecialtyState
-MI
-MI
Emergency MedicineMI
-MI
Emergency MedicineMI
Physician AssistantMI
Emergency MedicineMI
Internal Medicine, GastroenterologyMI
-MI
Emergency MedicineMI

Reviews

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Frequently asked questions

What is the standard ID for JOHN-MINA IBRAHIM (M.D.) in the U.S.?
In the U.S., JOHN-MINA IBRAHIM (M.D.) is identified by NPI 1740484369.
Should I treat JOHN-MINA IBRAHIM (M.D.) as an active provider?
Patients and plans typically see JOHN-MINA IBRAHIM (M.D.) as active in the national extract.
Which specialty label fits JOHN-MINA IBRAHIM (M.D.)?
NPPES ties JOHN-MINA IBRAHIM (M.D.) to Emergency Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JOHN-MINA IBRAHIM (M.D.)?
JOHN-MINA IBRAHIM (M.D.) is associated with Bloomfield Hills, Michigan in the same public data insurers reference.
Can I export JOHN-MINA IBRAHIM (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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