DR. PROUSKEH BRUCE EBRAHIMPOUR M.D. - NPI 1124280417 - Orthopaedic Surgery in Casper, WY

Q: What is Prouskeh Ebrahimpour's NPI number?

The NPI number for Prouskeh Ebrahimpour is 1124280417. It was assigned to this individual provider in the NPPES registry on June 27, 2008.

Q: What is Prouskeh Ebrahimpour's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

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About Dr. Prouskeh Bruce Ebrahimpour M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PROUSKEH BRUCE EBRAHIMPOUR M.D. (NPI 1124280417) is an individual adult reconstructive orthopaedic surgery provider in Casper, Wyoming, licensed in Wyoming (10548A) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124280417

Entity TypeIndividualMale

Primary Taxonomy207XS0114X

Provider Legal NameDR. PROUSKEH BRUCE EBRAHIMPOURCredential: M.D.

Location Address6550 E 2ND STCasper, WY 82609-4321

Mailing Address6550 E 2nd StCasper, WY 82609-4321 · (307) 266-4000 · Fax (307) 266-4545

Phone(307) 266-4000

Fax(307) 266-4545

Sole ProprietorNo

Enumeration DateJune 27, 2008

Last NPPES UpdateJanuary 20, 2017

✔ NPI 1124280417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XS0114X

License✔ Licensed in WY · 10548A

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.

6550 E 2ND ST, Casper, WY 82609

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Prouskeh Bruce Ebrahimpour M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Knee orthosis, elastic with joints, prefabricated, off-the-shelf L1812

DME-Orthotic Devices · category DF011N

1 supplier14 claims14 services$72.00 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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