Individual provider Active NPI

Ahmed A Bolkhir, MD

  • Gastroenterology Physician
  • Albuquerque, NM
National Provider Identifier
1053568667
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD2021-1113 Issued in NM
Practice address
500 Walter St NE Ste 401
Albuquerque, NM 87102-2563
Phone
(505) 727-7833
Fax
(505) 727-9590
NPI assigned
Aug 26, 2008
Last updated
Nov 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01070297 IN
Gastroenterology Physician 207RG0100X 67862 AZ
Gastroenterology Physician 207RG0100X 32006 OK
Gastroenterology Physician 207RG0100X 53026 WI
Gastroenterology Physician 207RG0100X MD2021-1113 NM Primary
Hospitalist Physician 208M00000X 036122476 IL

Addresses

Primary practice location

500 Walter St NE Ste 401
Albuquerque, NM 87102-2563

Mailing address

500 Walter St NE Ste 401
Albuquerque, NM 87102-2563
Phone (505) 727-7833

Other practice location 1

9200 W Wisconsin Ave
Gastroenterology
Milwaukee, WI 53226-3522
Phone (414) 955-6830

Other practice location 2

535 NW 9th St Ste 325
Oklahoma City, OK 73102
Phone (405) 772-4338

Other practice location 3

2400 S Avenue A
Yuma, AZ 85364-7127
Phone (928) 344-2000

Other identifiers 2

IdentifierTypeStateIssuer
201040770MedicaidIN
07576579MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, NM, AZ, MO4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20150709000202 WI Practitioner - GastroenterologyPractitioner - Internal Medicine 2264587872 Reassigns benefits to 1 organization
I20220217000346 NM Practitioner - Gastroenterology 2264587872 Reassigns benefits to 1 organization
I20221122003189 AZ Practitioner - Gastroenterology 2264587872 Reassigns benefits to 1 organization
I20221214001752 MO Practitioner - Gastroenterology 2264587872 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yuma Regional Medical CenterGroup PAC ID 2062314826, 367 clinicians

Practice addresses (Care Compare)

2400 S Ave a
Yuma, AZ 85364-7127
Phone (928) 344-2000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy34
Upper gastrointestinal (GI) endoscopy for acid reflux100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
53026WIMDGastroenterology Physician
036122476ILMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Medical Associates, LLC Family Medicine CurrentSince Apr 1, 2022 Accepting new patients
Yuma Regional Medical Center CurrentSince Oct 22, 2022 Accepting new patients
Saint Francis Medical Center Current Accepting new patients
Southwest Medical Associates, LLC Family Medicine CurrentSince Apr 1, 2022 Accepting new patients
Saint Francis Medical Center Family Medicine CurrentSince Dec 19, 2022 Accepting new patients
The Medical College of Wisconsin, Inc. Family Medicine CurrentSince Aug 1, 2015 Accepting new patients
Saint Francis Medical Center CurrentSince Dec 19, 2022 Accepting new patients

Locations

1390 W 16th St
Yuma, AZ 85364
Phone (928) 344-4325

2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100

211 Saint Francis Dr
Cpe Girardeau, MO 63703
Phone (573) 331-3000

24 S Mount Auburn Rd
Cpe Girardeau, MO 63703
Phone (573) 331-5544

4101 Indian School Rd NE
Ste 110
Albuquerque, NM 87110
Phone (505) 727-8360

500 Walter St NE
Ste 401
Albuquerque, NM 87102
Phone (505) 727-5910

715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500

8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100

9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1053568667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 WALTER ST NE STE 401",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022563",
            "telephone_number": "505-727-7833",
            "fax_number": "505-727-9590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 WALTER ST NE STE 401",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022563",
            "telephone_number": "505-727-7833",
            "fax_number": "505-727-9590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9200 W Wisconsin Ave",
            "address_2": "GASTROENTEROLOGY",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532263522",
            "country_code": "US",
            "telephone_number": "414-955-6830",
            "fax_number": "414-955-6214",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "535 NW 9th St Ste 325",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "73102",
            "country_code": "US",
            "telephone_number": "405-772-4338",
            "fax_number": "405-772-4339",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2400 S Avenue A",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853647127",
            "country_code": "US",
            "telephone_number": "928-344-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLKHIR",
        "first_name": "AHMED",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-26",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01070297",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "67862",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OK",
            "license": "32006",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WI",
            "license": "53026",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NM",
            "license": "MD2021-1113",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036122476",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201040770",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07576579",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.