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

Isra Ibrahim, MD

Individual provider Internal Medicine Physician · NPI 1659722460

Isra Ibrahim, MD is an Internal Medicine in Indianapolis, Indiana. Qualified in 2007, 19 years ago. Practices with Grand Traverse Physician Services PC, a 123-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in California, Indiana and Michigan.

Years since qualifying
19
Licensed in
CA, IN, MI
In the registry since
2016
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

550 University Blvd # UH1501
Indianapolis, IN 46202-5149
Phone: (317) 962-8776
Fax: (317) 963-5285
Show map & directions

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

Additional practice locations (4)

  • 1701 N Senate Blvd, Indianapolis, IN 46202-1239 — (888) 484-3258
  • 2001 W 86th St, Indianapolis, IN 46260-1902 — (317) 338-2345
  • 18101 Oakwood Blvd, Dearborn, MI 48124-4089 — (832) 202-5147
  • 11275 Allen Rd, Southgate, MI 48195-3380 — (313) 383-7071

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 01082400A (IN)
Internal Medicine Physician Taxonomy 207R00000X · Licence 4301116885 (MI)
Hospitalist Physician Taxonomy 208M00000X · Licence A-178374 (CA)

Record details

NPI number1659722460
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 23, 2016
Last updated in NPPESJuly 21, 2026
Certification dateJuly 21, 2026

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Grand Traverse Physician Services Pc — 123 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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