IndividualActive
Mazen Ibrahim, MD PHD
NPI 1407685621 · Adult Reconstructive Orthopaedic Surgery Physician · Vail, CO
Provider details
- NPI number
- 1407685621
- Entity type
- Individual
- Primary specialty
- Adult Reconstructive Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD PHD
- Sex
- Male
- Sole proprietor
- No
- License
- DR.0074162 (CO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
181 W Meadow Dr
Vail, CO 81657-5242
Phone: (970) 479-7203
Fax: (970) 479-7282
Street-level locationGet directions
Mailing address
181 W Meadow Dr Ste 400
Vail, CO 81657-5058
Additional practice locations (2)
- 401 Castle Creek RdAspen, CO 81611-1159Phone: (970) 479-7203
- 200 Robinson StBasalt, CO 81621-8472Phone: (970) 479-7203
Registry dates
- Enumerated
- 2024-07-27
- Last updated
- 2025-08-06
- Certified
- 2025-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.