YERASSYL IBRAGIM MD
NPI 1265225312
Student in an Organized Health Care Education/Training Program in Charleston, WV

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since May 22, 2025PECOS Enrolled

800 PENNSYLVANIA AVE, CHARLESTON, WV 25302(304) 388-5432 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 2, 2025, May 22, 2025 (2 updates tracked since 2025).

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About Yerassyl Ibragim Md NPPES

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

YERASSYL IBRAGIM MD (NPI 1265225312) is an individual student in an organized health care education/training program in Charleston, West Virginia and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265225312

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameYERASSYL IBRAGIMCredential: MD

Location Address800 PENNSYLVANIA AVECharleston, WV 25302-3351

Mailing Address411 Prospect AveCharleston, WV 25303-2022

Phone(304) 388-5432

Sole ProprietorNo

Enumeration DateMay 22, 2025

Last NPPES UpdateJune 2, 20252 updates tracked since enumeration

NPPES CertifiedJune 2, 2025

✔ NPI 1265225312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

800 PENNSYLVANIA AVE, Charleston, WV 25302

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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)

Yerassyl Ibragim Md 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.