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

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