Individual provider Active NPI

Raoul Joubran, MD

  • Gastroenterology Physician
  • Casper, WY
National Provider Identifier
1689784373
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
6559A Issued in WY
Practice address
1441 Wilkins Circle
Gastroenterology Associates PC
Casper, WY 82601
Phone
(307) 265-1792
Fax
(307) 237-8106
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 6559A WY Primary

Addresses

Primary practice location

1441 Wilkins Circle
Gastroenterology Associates PC
Casper, WY 82601

Mailing address

1441 Wilkins Circle
Gastroenterology Associates PC
Casper, WY 82601
Phone (307) 265-1792

Other identifiers 2

IdentifierTypeStateIssuer
308745OtherWYBLUE CROSS
0059279OtherMTMONTANA MEDICAID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20101026001226 WY Practitioner - Gastroenterology 1658285432 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Wright State University Boonshoft School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Associates, LLC 14 clinicians

Practice addresses (Care Compare)

1441 Wilkins Cir
Casper, WY 82601-1337
Phone (307) 233-2700

Hospital & facility affiliations

  • Banner Wyoming Medical Center Hospital, Casper, WY, CCN 530012
  • Sagewest Health Care Hospital, Riverton, WY, CCN 530008
  • Summit Medical Center Hospital, Casper, WY, CCN 530034
  • Campbell County Health Hospital, Gillette, WY, CCN 530002

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy368
Upper gastrointestinal (GI) endoscopy for acid reflux759

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6559AWYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Associates, LLC Gastroenterology CurrentSince May 29, 2001 Accepting new patients
Sheridan Surgical Center, LLC PastSince Jan 1, 2007 Accepting new patients

Locations

1201 E 3rd St
Casper, WY 82601
Phone (307) 234-4585

1233 E 2nd St
Casper, WY 82601
Phone (307) 577-2171

6350 E 2nd St
Casper, WY 82609
Phone (307) 232-6600

1441 Wilkins Cir
Casper, WY 82601
Phone (307) 265-1792

1503 Cressett St
Gillette, WY 82716
Phone (307) 670-3500

407 S Medical Arts Ct
Ste D
Gillette, WY 82716
Phone (307) 686-0308

1001 W Main St
Riverton, WY 82501
Phone (307) 856-6530

1005 College View Dr
Riverton, WY 82501
Phone (307) 857-3486

2100 W Sunset Dr
Riverton, WY 82501
Phone (307) 856-4161

1577 Dewar Dr
Ste 8
Rock Springs, WY 82901
Phone (307) 362-0707

4401 College Dr
Rock Springs, WY 82901
Phone (307) 352-8900

2761 Commercial Way
Rock Springs, WY 82901
Phone (307) 382-3064

1262 W 5th St
Sheridan, WY 82801
Phone (307) 672-5122

1524 W 5th St
Sheridan, WY 82801
Phone 208525209018

Interoperability endpoints

  • Direct secure messaging: rjoubran@yourcarecommunity.org

Organizations & group practices 2

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 5

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689784373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 WILKINS CIRCLE",
            "address_2": "GASTROENTEROLOGY ASSOCIATES PC",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "82601",
            "telephone_number": "307-265-1792",
            "fax_number": "307-237-8106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 WILKINS CIRCLE",
            "address_2": "GASTROENTEROLOGY ASSOCIATES PC",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "82601",
            "telephone_number": "307-265-1792",
            "fax_number": "307-237-8106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOUBRAN",
        "first_name": "RAOUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WY",
            "license": "6559A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "308745",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MONTANA MEDICAID",
            "identifier": "0059279",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.