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

Michael John Ibrahim

Individual provider Physician Assistant · NPI 1235926148

Michael John Ibrahim is a Physician Assistant in Casper, Wyoming. Graduated from University of Washington School of Medicine in 2024, 2 years ago. Practices with Casper Cardiology, a 5-clinician group and accepts Medicare assignment. Licensed in Wyoming.

Years since qualifying
2
Trained at
University of Washington School of Medicine
Licensed in
WY
In the registry since
2025
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Practice location Address checks out

428 S Durbin St Ste 104
Casper, WY 82601-2829
Phone: (307) 337-4284
Fax: (307) 224-3436
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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 PA1343 (WY)

Record details

NPI number1235926148
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 23, 2025
Last updated in NPPESApril 23, 2025
Certification dateApril 23, 2025
Mailing address428 S Durbin St Ste 104, Casper, WY 82601-2829

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Casper Cardiology — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Casper