Organization Active NPI

Rocky Mountain Infectious Diseases P C

  • Infectious Disease Physician
  • Casper, WY
National Provider Identifier
1497833180
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
5197A Issued in WY
Legal business name
ROCKY MOUNTAIN INFECTIOUS DISEASES P C
Practice address
1450 E a St
Ste 1 & 2
Casper, WY 82601-2239
Phone
(307) 234-8700
Fax
(307) 234-8750
NPI assigned
Nov 1, 2006
Last updated
Sep 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ghazi Antoun GhanemNPI 1669540423
Title
Owner
Phone
(307) 234-8700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 5197A WY Primary
Home Infusion Agency 251F00000X NU
Durable Medical Equipment & Medical Supplies 332B00000X 6725430001 WY

Addresses

Primary practice location

1450 E a St
Ste 1 & 2
Casper, WY 82601-2239

Mailing address

1450 E a St
Casper, WY 82601-2239
Phone (307) 234-8700

Other identifiers 1

IdentifierTypeStateIssuer
115259900MedicaidWY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040420001721 WY Part B Supplier - Clinic/Group Practice 6608862354 Receives reassigned benefits from 7 practitioners
Practice locations: Casper, WY
O20130315000239 WY DME Supplier - Physician - Infectious Disease 6608862354 Practice locations: Casper, WY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
53D2077631Rocky Mountain Infectious Diseases1450 East a Street, Casper, WY 82601ComplianceJun 29, 2027

National Provider Directory

National Provider Directory

Locations

1450 E A St
Casper, WY 82601
Phone (307) 235-1503

1450 E A St
Ste 1
Casper, WY 82601
Phone (307) 234-8700

1450 E A St
Ste 12
Casper, WY 82601

918 E 2nd St
Casper, WY 82601
Phone (307) 234-8700

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/58a432b4-e1e9-4961-babc-ff3b87eb8606/

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790726400000",
    "number": "1497833180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 E A ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012239",
            "telephone_number": "307-234-8700",
            "fax_number": "307-234-8750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 E A ST",
            "address_2": "STE 1 & 2",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012239",
            "telephone_number": "307-234-8700",
            "fax_number": "307-234-8750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN INFECTIOUS DISEASES P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A",
        "authorized_official_last_name": "GHANEM",
        "authorized_official_first_name": "GHAZI",
        "authorized_official_middle_name": "ANTOUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-234-8700"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "WY",
            "license": "5197A",
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WY",
            "license": "6725430001",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115259900",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.