Active NPI
Zaki G Ibrahim, MD
- Orthopaedic Surgery of the Spine Physician
- Liberal, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- 0441788
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 40758 | CO | |
| Orthopaedic Surgery of the Spine Physician | 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, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
- Broadlawns Medical Center
- Decatur County Hospital
- Boone County Hospital
- Meade District Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 61 |
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 40758 | CO | MD | Orthopaedic Surgery of the Spine Physician |
| 0441788 | KS | MD | Orthopaedic Surgery of the Spine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Broadlawns Medical Center | Multi-Specialty | Current | Accepting new patients |
| Decatur County Hospital | Multi-Specialty | Current | Accepting new patients |
| Broadlawns Medical Center | Current | 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
- 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.
-
- Surgery Physician
- Liberal, KS
- NPI 1144493040
-
- Pharmacy
- Des Moines, IA
- NPI 1013197060
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Meade, KS
- NPI 1922004076
-
- General Acute Care Hospital
- Liberal, KS
- NPI 1538109251
-
- Critical Access Hospital
- Boone, IA
- NPI 1467434225
-
- General Acute Care Hospital
- Des Moines, IA
- NPI 1467447508
-
- Critical Access Hospital
- Leon, IA
- NPI 1144209255
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.