MAZEN MOHAMED IBRAHIM IBRAHIM MD PHD NPI 1407685621

NPI Information

  • NPI: 1407685621
  • Provider Name: MAZEN MOHAMED IBRAHIM IBRAHIM, MD PHD
  • Classification: Orthopaedic Surgery - 207XS0114X
  • Specialization: Adult Reconstructive Orthopaedic Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 181 W MEADOW DR
    VAIL, CO
    ZIP 81657
  • Phone: (970) 479-7203

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NPI Details

Mazen Mohamed Ibrahim Ibrahim, MD PHD is an adult reconstructive orthopaedic surgery orthopaedic surgery in Vail, CO with 24 years of experience. The provider is 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. Mazen Mohamed Ibrahim Ibrahim, MD PHD NPI is 1407685621. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

181 W MEADOW DR
VAIL, CO
ZIP 81657-242
Phone: (970) 479-7203
Fax: (970) 479-7282

The NPI 1407685621 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/27/2024 and was last updated on 8/6/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207X00000XOrthopaedic SurgeryDR.0074162COLORADONo
2207XP3100XOrthopaedic SurgeryPediatric Orthopaedic SurgeryDR.0074162COLORADONo
3207XS0114XOrthopaedic SurgeryAdult Reconstructive Orthopaedic SurgeryDR.0074162COLORADOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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