Active NPI
Ahmed A Bolkhir, MD
- Gastroenterology Physician
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MD2021-1113
- 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, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201040770 | Medicaid | IN | |
| 07576579 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, NM, AZ, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2400 S Ave a
Yuma, AZ 85364-7127
Phone (928) 344-2000
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 34 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 100 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53026 | WI | MD | Gastroenterology Physician |
| 036122476 | IL | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Medical Associates, LLC | Family Medicine | Current | Accepting new patients |
| Yuma Regional Medical Center | Current | Accepting new patients | |
| Saint Francis Medical Center | Current | Accepting new patients | |
| Southwest Medical Associates, LLC | Family Medicine | Current | Accepting new patients |
| Saint Francis Medical Center | Family Medicine | Current | Accepting new patients |
| The Medical College of Wisconsin, Inc. | Family Medicine | Current | Accepting new patients |
| Saint Francis Medical Center | Current | 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.
-
dba Onvida Health Yuma Medical Center
- General Acute Care Hospital
- Yuma, AZ
- NPI 1194706655
-
dba Lovelace Medical Group
- General Practice Physician
- Albuquerque, NM
- NPI 1164491072
Family Medicine
-
dba Saint Francis Medical Center Anesthesia
- Anesthesiology Physician
- Cape Girardeau, MO
- NPI 1356304489
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
Family Medicine
-
- Rural Health Clinic/Center
- Roswell, NM
- NPI 1578255253
Family Medicine
-
- Internal Medicine Physician
- Cape Girardeau, MO
- NPI 1578513016
Family Medicine
-
dba Saint Francis Clinic Jackson
- Clinic/Center
- Jackson, MO
- NPI 1992502975
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Onvida Health Yuma Medical Center
- General Acute Care Hospital
- Yuma, AZ
- NPI 1194706655
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.