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

Ibraheam Mohammed

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1346814761

Ibraheam Mohammed is an Internal Medicine in Fort Wayne, Indiana. Graduated from Ohio University, College of Osteopathic Medicine in 2021, 5 years ago. Practices with Lutheran Medical Group LLC, a 250-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
5
Trained at
Ohio University, College of Osteopathic Medicine
Licensed in
IN
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

7916 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone: (260) 478-4206
Fax: (260) 478-3628
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Gme Office, Detroit, MI 48201-4820 — (313) 745-7888

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 02007837A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1346814761
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 19, 2021
Last updated in NPPESSeptember 9, 2024
Certification dateSeptember 9, 2024
Mailing address6920 Pointe Inverness Way Ste 200, Fort Wayne, IN 46804-7934

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2021 (5 years in practice)
Group practice Lutheran Medical Group Llc — 250 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fort Wayne