Active NPI
George Kaissar Ibrahim, M.D.
- Urology Physician
- Asheville, NC
National Provider Identifier
1942535919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 39184
- Practice address
- 1 Vanderbilt Park Dr Ste 230
Asheville, NC 28803-1766 - Phone
- (828) 505-2885
- Fax
- (828) 575-0913
- NPI assigned
- Oct 8, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 39184 | NC | Primary |
Addresses
Primary practice location
1 Vanderbilt Park Dr Ste 230
Asheville, NC 28803-1766
Mailing address
1 Vanderbilt Park Dr Ste 230
Asheville, NC 28803-1766
Phone (828) 505-2885
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Aug 30, 2022 through Aug 30, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39184 | NC | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664409600000",
"number": "1942535919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 VANDERBILT PARK DR STE 230",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288031766",
"telephone_number": "828-505-2885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 VANDERBILT PARK DR STE 230",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288031766",
"telephone_number": "828-505-2885",
"fax_number": "828-575-0913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IBRAHIM",
"first_name": "GEORGE",
"middle_name": "KAISSAR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-10-08",
"last_updated": "2022-09-29",
"certification_date": "2022-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NC",
"license": "39184",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Asheville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.