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

Iman Fayak Ismail

Individual provider Physician Assistant · NPI 1629541131

Iman Fayak Ismail is a Physician Assistant in Livonia, Michigan. Qualified in 2018, 8 years ago. Practices with Henry Ford Urgent Care, a 111-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
8
Licensed in
MI
In the registry since
2019
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Practice location Address checks out

20280 Middlebelt Rd
Livonia, MI 48152-2002
Phone: (248) 987-1270
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601008934 (MI)

Record details

NPI number1629541131
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 8, 2019
Last updated in NPPESApril 14, 2022
Certification dateApril 14, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Henry Ford Urgent Care — 111 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Livonia