NPPES file of Aug 9, 2026

Wael S. Ibrahim, MD

Dermatopathology (Pathology) Physician · Roseville, MN

Wael S. Ibrahim, MD is a dermatopathology (pathology) physician with a practice address in Roseville, Minnesota, and NPI 1376033563, issued on May 14, 2018. Check the license (Minnesota 79808, as entered in NPPES) on the Minnesota Board of Medical Practice; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1376033563
Name
Wael S. Ibrahim
Credential
MD
Primary taxonomy
Dermatopathology (Pathology) Physician 207ZD0900X
License numbers
79808 MN
85806-20 WI
Self-reported in NPPES; status is on the state search
Practice location
2720 Fairview Ave N Ste 200, Roseville, MN 55113
Phone
(651) 633-6883
Enumerated
May 14, 2018
Record last updated
Dec 4, 2025
Fax
(651) 331-3459
Medicare enrollment
Enrolled (PECOS I20250718002286); may accept Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 2720 Fairview Ave N Ste 200

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Kerry Anderson, PHARMD, RPHPharmacist1457783375
  2. Olivia BienDermatology Physician1710848254
  3. Meagan Bliese, PA-CPhysician Assistant1528944840
  4. Ashley DavisPhysician Assistant1215557467
  5. Erin De La Bruere, PAPhysician Assistant1619625639
  6. Madeeha Drissi, MDDermatology Physician1437716057

Verify Wael S. Ibrahim in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersMinnesota Board of Medical Practice
    Search for license 79808
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Minnesota license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Tareen Dermatology PAHudson, WI

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Wael S. Ibrahim among 17 dermatopathology (pathology) physician records in Minnesota

Wael S. Ibrahim, MD is one of 17 dermatopathology (pathology) physician records with a practice address in Minnesota. 76% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2018, is newer than 65% of them.

  • NPI issued2018 · 65% of these records are older, 24% newer
  • In a Medicare fileYes · 76% of these records are
  • In the CMS Doctors and Clinicians fileYes · 65% of these records are
  • Graduated2014 · median 2005 among the 11 with a school on file
  • Record last updated2025 · 47% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207ZD0900X and a Minnesota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Dermatopathology (Pathology) Physician providers in Minnesota

There are 17 dermatopathology (pathology) physician records in Minnesota.

The 8 dermatopathology (pathology) physician records with the nearest ZIP codes

  1. Tyler Menge, MDRoseville, MN 551131922461235
  2. James Ramirez, M.D.Roseville, MN 551131003867946
  3. Jasmine Saleh, MDRoseville, MN 551131902300833
  4. Nicole Therrien, M.D.Roseville, MN 551131912391145
  5. Erick Jacobson-Dunlop, MDSt Louis Park, MN 554161538301973
  6. Valda Kaye, M.D.Plymouth, MN 554411841293701
  7. Andrew Larson, D.O.Plymouth, MN 554411528296043
  8. Mark Wilke, M.D.Plymouth, MN 554411376546234

Common questions

What is Wael S. Ibrahim, MD's NPI number?

Wael S. Ibrahim, MD's National Provider Identifier (NPI) is 1376033563, issued on May 14, 2018. An NPI identifies a provider in billing; it is not a license.

Where is Wael S. Ibrahim, MD located?

The NPPES record lists a practice address at 2720 Fairview Ave N Ste 200, Roseville, MN, 55113. Phone: (651) 633-6883. Providers update this record themselves, so call before visiting.

How can I verify Wael S. Ibrahim, MD's license?

NPPES lists Minnesota license number 79808, as entered by the provider. Search the Minnesota Board of Medical Practice at https://mn.gov/boards/medical-practice/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.