Elite Sports & Regenerative Medicine PLLC
NPI 1619863933 · Sports Medicine (Family Medicine) Physician · Dearborn, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Elite Sports & Regenerative Medicine PLLC is a Sports Medicine (Family Medicine) Physician organization in Dearborn, MI (NPI 1619863933).
Provider details
- NPI number
- 1619863933
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mohammad Ibrahim, Manager(313) 764-0088
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Elite Sports & Regenerative Medicine
Registry dates
- Enumerated
- 2025-06-13
- Last updated
- 2025-06-13
- Certified
- 2025-06-13
Frequently asked questions
- What is Elite Sports & Regenerative Medicine PLLC's NPI number?
- Elite Sports & Regenerative Medicine PLLC's National Provider Identifier (NPI) is 1619863933, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Elite Sports & Regenerative Medicine PLLC?
- Elite Sports & Regenerative Medicine PLLC is classified in the NPPES registry as Sports Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Elite Sports & Regenerative Medicine PLLC located?
- Elite Sports & Regenerative Medicine PLLC's practice location on file with NPPES is 1022 N Telegraph Rd Ste 2, Dearborn, MI 48128-1622.
- What is Elite Sports & Regenerative Medicine PLLC's phone number?
- The practice phone number listed in the NPPES registry for Elite Sports & Regenerative Medicine PLLC is (313) 764-0088.
- Does Elite Sports & Regenerative Medicine PLLC accept Medicare?
- Elite Sports & Regenerative Medicine PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Elite Sports & Regenerative Medicine PLLC?
- The authorized official listed on Elite Sports & Regenerative Medicine PLLC's NPPES record is Mohammad Ibrahim, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Elite Sports & Regenerative Medicine PLLC's NPI active?
- Yes — Elite Sports & Regenerative Medicine PLLC's NPI (1619863933) is active in the NPPES registry as of the last update on 2025-06-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.