Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elmoataz Ibrahim, MD

Individual provider Internal Medicine Physician · NPI 1285883371

Elmoataz Ibrahim, MD is a Neurology in Clinton Township, Michigan. Qualified in 2004, 22 years ago. Practices with Memorial Hospital, a 206-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan and Ohio.

Years since qualifying
22
Licensed in
MI, OH
In the registry since
2008
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

15945 19 Mile Rd
Clinton Township, MI 48038-1147
Phone: (586) 263-0610
Fax: (586) 263-0834
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 29984 Telegraph Rd, Southfield, MI 48034-1355 — (248) 357-5000

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 4301094678 (MI)
Internal Medicine Physician Taxonomy 207R00000X · Licence 4301094678 (MI)
Critical Access Hospital Taxonomy 282NC0060X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 57-014393 (OH)

Record details

NPI number1285883371
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 12, 2008
Last updated in NPPESNovember 23, 2020
Certification dateNovember 23, 2020
Mailing address43781 Stoney Ln, Sterling Heights, MI 48313-2259

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Memorial Hospital — 206 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Clinton Township