IMAN S ABOU-CHAKRA, M.D. — NPI 1952373078 (Licensed & Credentialed Allopathic & Osteopathic Physicians — Physical Medicine & Rehabilitation in JACKSON, MI)

CMS-1500 Box 24J / 33a • NPI

1952373078

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

208100000X (CMS 25)

Licensed & Credentialed Allopathic & Osteopathic Physicians — Physical Medicine & Rehabilitation

Box 32 Service Location & ZIP+4

1201 E MICHIGAN AVE, STE 300, JACKSON, MI, 49201-1852

✓ 9-Digit EDI 837 ZIP+4 (49201-1852)

Practice Phone & Referral Fax

(517) 841-1431

Fax: (517) 841-1432

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1952373078 (IMAN S ABOU-CHAKRA, M.D.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1952373078` (NPI-1 Individual Practitioner)
Provider / Legal Name	IMAN S ABOU-CHAKRA, M.D.
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — Physical Medicine & Rehabilitation NUCC Code: `208100000X` (Physical Medicine & Rehabilitation)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1201 E MICHIGAN AVE, STE 300, JACKSON, MI, 49201-1852
Practice Telephone / Fax	Tel: (517) 841-1431 \| Fax: (517) 841-1432
Administrative Mailing Address	PO BOX 67000, DETROIT, MI, 48267-2728
Enumeration & Last Sync	Enumerated: 2006-02-02 \| CMS Record Updated: 2012-08-07

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1201 E MICHIGAN AVE, STE 300, JACKSON, MI, 49201-1852

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Plain-English Taxonomy & CMS Crosswalk (208100000X)

What Does Taxonomy Code 208100000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208100000X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Physical Medicine & Rehabilitation"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 25 (Physician/Physical Medicine and Rehabilitation)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Physical Medicine & Rehabilitation for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (IMAN S ABOU-CHAKRA, M.D.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`2081P2900X` — Physical Medicine & Rehabilitation, Pain Medicine Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Physical Medicine & Rehabilitation, Pain Medicine	State: OH \| License: `35083590` \| Primary: Secondary
`208100000X` — Physical Medicine & Rehabilitation Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Physical Medicine & Rehabilitation	State: MI \| License: `4301082675` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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IMAN S ABOU-CHAKRA, M.D. (NPI #1952373078)