Individual provider Active NPI

Zaki G Ibrahim, MD

  • Orthopaedic Surgery of the Spine Physician
  • Liberal, KS
National Provider Identifier
1689612889
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
0441788 Issued in KS
Practice address
305 W 15TH St Ste 101
Liberal, KS 67901-2455
Phone
(620) 624-0732
Fax
(620) 624-2513
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X 40758 CO
Orthopaedic Surgery of the Spine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0117X 0441788 KS Primary

Addresses

Primary practice location

305 W 15TH St Ste 101
Liberal, KS 67901-2455

Mailing address

305 W 15TH St Ste 101
Liberal, KS 67901-2455
Phone (620) 624-0732

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, IA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191126002035 KS Practitioner - Orthopedic Surgery 6406831627 Reassigns benefits to 1 organization
I20221222000610 IA Practitioner - Orthopedic Surgery 6406831627 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Minnesota Medical School, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Medical CenterGroup PAC ID 7517941651, 62 clinicians

Practice addresses (Care Compare)

305 W 15TH St
101 Orthopedic and Sports Med Care Ctr
Liberal, KS 67901-2455
Phone (620) 624-0732

Hospital & facility affiliations

  • Southwest Medical Center Hospital, Liberal, KS, CCN 170068
  • Broadlawns Medical Center Hospital, Des Moines, IA, CCN 160101
  • Decatur County Hospital Hospital, Leon, IA, CCN 161340
  • Boone County Hospital Hospital, Boone, IA, CCN 161372
  • Meade District Hospital Hospital, Meade, KS, CCN 171321

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion61
Laminectomy or laminotomy (partial removal of spine bones)23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
40758COMDOrthopaedic Surgery of the Spine Physician
0441788KSMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Broadlawns Medical Center Multi-Specialty CurrentSince Jan 19, 2025 Accepting new patients
Decatur County Hospital Multi-Specialty CurrentSince Jul 24, 2025 Accepting new patients
Broadlawns Medical Center CurrentSince Jan 19, 2025 Accepting new patients

Locations

2508 E University Ave
Des Moines, IA 50317
Phone (515) 282-2362

2970 University Ave
Des Moines, IA 50311
Phone (515) 216-5100

1801 Hickman Rd
Des Moines, IA 50314
Phone (515) 282-2200

580 SW 9th St
Ste 100
Des Moines, IA 50309
Phone (515) 282-2362

1405 NW Church St
Leon, IA 50144
Phone (641) 446-2340

Interoperability endpoints

  • Direct secure messaging: zaki.ibrahim.1@19659.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1689612889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W 15TH ST STE 101",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "679012455",
            "telephone_number": "620-624-0732",
            "fax_number": "620-624-2513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W 15TH ST STE 101",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "679012455",
            "telephone_number": "620-624-0732",
            "fax_number": "620-624-2513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "ZAKI",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CO",
            "license": "40758",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "KS",
            "license": "0441788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberal, KS

Sources for this page

Verify at the official NPI Registry.