Individual provider Active NPI

Abdul-Qader S Alarhayem, M.D.

  • Vascular Surgery Physician
  • Amarillo, TX
National Provider Identifier
1053676049
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
T4104 Issued in TX
Practice address
1301 S Coulter St Ste 204
Amarillo, TX 79106-1765
Phone
(806) 340-0550
NPI assigned
Jul 6, 2012
Last updated
Mar 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 76029 TN
Vascular Surgery Physician 2086S0129X 16292A WY
Vascular Surgery Physician 2086S0129X ME129683 FL
Vascular Surgery Physician 2086S0129X T4104 TX Primary
Vascular Surgery Physician 2086S0129X 35223 NH
Vascular Surgery Physician 2086S0129X 3871440 ID
Vascular Surgery Physician 2086S0129X 2022011041 MO
Vascular Surgery Physician 2086S0129X 59800 AZ
Vascular Surgery Physician 2086S0129X MD225608 OR

Addresses

Primary practice location

1301 S Coulter St Ste 204
Amarillo, TX 79106-1765

Mailing address

1710 Keller Pkwy Unit 3008
Keller, TX 76248-3749
Phone (210) 784-7281

Other practice location 1

699 W Cocoa Beach Cswy
Cocoa Beach, FL 32931-3577
Phone (321) 549-0815

Other practice location 2

2525 DeSales Ave
Chattanooga, TN 37404-1161
Phone (423) 495-2525

Other practice location 3

775 Pole Line Rd W Ste 213
Twin Falls, ID 83301-5820
Phone (208) 814-8475

Other practice location 4

1710 Keller Pkwy Unit 3008
Keller, TX 76248-3749
Phone (210) 784-7281

Other practice location 5

802 N Riverside Rd Ste 200
Saint Joseph, MO 64507-2553
Phone (816) 271-6666

Other practice location 6

3355 Riverbend Dr Ste 300
Springfield, OR 97477-8800
Phone (541) 222-8333

Other practice location 7

3377 Riverbend Dr Ste 340
Springfield, OR 97477-8803
Phone (541) 222-8080

Other practice location 8

1223 Gateway Dr
Melbourne, FL 32901-2607
Phone (321) 549-0815

Other names 1

  • Abdul-Qader Sufyan Alarhayem Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX, MO, WY, CO, WA, OR, FL, NJ, ID, IN, TN12 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 12

Enrollment IDStateProvider typePAC IDDetails
I20200904001052 AZ Practitioner - Vascular Surgery 5799102737 Reassigns benefits to 2 organizations
I20211221001724 TX Practitioner - Vascular Surgery 5799102737 Reassigns benefits to 1 organization
I20220405001175 MO Practitioner - Vascular Surgery 5799102737 Reassigns benefits to 4 organizations
I20240323000115 WY Practitioner - Vascular Surgery 5799102737 Reassigns benefits to 3 organizations
I20250213000060 CO Practitioner - Vascular Surgery 5799102737 Reassigns benefits to 1 organization
I20250422001697 WA Practitioner - Vascular SurgeryPractitioner - General Surgery 5799102737 Reassigns benefits to 1 organization
I20250724002539 OR Practitioner - Vascular Surgery 5799102737 Reassigns benefits to 2 organizations
I20251209003761 FL Practitioner - Vascular Surgery 5799102737 Reassigns benefits to 1 organization
I20251211003960 NJ Practitioner - Vascular Surgery 5799102737 Reassigns benefits to 1 organization
I20260206002649 ID Practitioner - Vascular Surgery 5799102737 Reassigns benefits to 2 organizations
I20260402000944 IN Practitioner - Vascular Surgery 5799102737 Reassigns benefits to 1 organization
I20260508003149 TN Practitioner - Vascular Surgery 5799102737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians
PeacehealthGroup PAC ID 8527016039, 200 clinicians
Riverview HospitalGroup PAC ID 1153216627, 209 clinicians
St Lukes Clinic LLCGroup PAC ID 1052217478, 313 clinicians

Practice addresses (Care Compare)

1401 Court St
Pueblo, CO 81003-2715
Phone (719) 562-2300

3330 Waterman Way
Tavares, FL 32778-5250
Phone (352) 343-0181

3377 Riverbend Dr
Springfield, OR 97477-8803
Phone (541) 222-2700

355 Westfield Rd
Suite 120
Noblesville, IN 46060-1442
Phone (317) 770-5842

400 W 16TH St
Pueblo, CO 81003-2745
Phone (719) 584-4921

4404 Barranca LN
Unit 101
Castle Rock, CO 80104-7419
Phone (720) 733-5260

746 N College Rd
Twin Falls, ID 83301-3486

775 Pole Line Rd W
Twin Falls, ID 83301-5820

801 Pole Line Rd W
Twin Falls, ID 83301-5810

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME129683FLMDVascular Surgery Physician
3871440IDMDVascular Surgery Physician
2022011041MOMDVascular Surgery Physician
76029TNMDVascular Surgery Physician
T4104TXMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Cardiovascular LLC CurrentSince Dec 1, 2024 Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince Apr 26, 2024 Accepting new patients
Health First Medical Group, LLC CurrentSince Feb 2, 2026 Accepting new patients
Northwest Medical Center Association Inc CurrentSince Aug 1, 2025 Accepting new patients
Mosaic Medical Center - Maryville Surgery CurrentSince Aug 1, 2025 Accepting new patients
Riverton Physician Practices, LLC Current Accepting new patients
Florida Hospital Medical Group Inc Surgery CurrentSince Feb 16, 2026 Accepting new patients
Poudre Valley Medical Group, LLC Surgery CurrentSince Jun 1, 2025 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Apr 11, 2022 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Feb 16, 2026 Accepting new patients
Casper Medical Imaging, P.C. Vascular Surgery CurrentSince Feb 17, 2024 Accepting new patients
St Lukes Clinic-Treasure Valley LLC Surgery CurrentSince Jan 22, 2026 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Jun 1, 2025 Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince Apr 26, 2024 Accepting new patients
Multicare Health System CurrentSince Apr 3, 2025 Accepting new patients
Peacehealth Medical Group Surgery CurrentSince Jul 10, 2025 Accepting new patients
Northwest Medical Center Association Inc CurrentSince Aug 1, 2025 Accepting new patients
Mosaic Medical Center - Maryville CurrentSince Aug 1, 2025 Accepting new patients
Heartland Regional Medical Center Current Accepting new patients
Multicare Health System Current Accepting new patients
Heartland Regional Medical Center Surgery CurrentSince Jul 2, 2025 Accepting new patients
Riverton Physician Practices LLC CurrentSince Aug 21, 2024 Accepting new patients
Community Hospital Surgery Current Accepting new patients
Riverton Physician Practices LLC CurrentSince Aug 21, 2024 Accepting new patients
Peacehealth Surgery CurrentSince Jul 10, 2025 Accepting new patients
Health First Medical Group, LLC Surgery CurrentSince Feb 2, 2026 Accepting new patients
St Luke's Clinic LLC Surgery CurrentSince Jan 22, 2026 Accepting new patients
Multicare Health System CurrentSince Apr 3, 2025 Accepting new patients
Heartland Regional Medical Center CurrentSince Jul 2, 2025 Accepting new patients
Airport Plaza Spine & Wellness LLC Surgery CurrentSince Nov 1, 2025 Accepting new patients
Peacehealth Medical Group CurrentSince Jul 10, 2025 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Apr 11, 2022 Accepting new patients
Cardiac Care Alliance Network of Arizona LLC PastSince Oct 22, 2023 Accepting new patients
SCL Health Medical Group - Billings LLC Past Accepting new patients
St Luke's Magic Valley Regional Medical Center LTD Past Accepting new patients
Elite Pain and Spine Institute, PLC PastSince Dec 1, 2024 Accepting new patients

Locations (25 of 40)

1940 N Alma School Rd
Chandler, AZ 85224
Phone (480) 890-0280

5757 W Thunderbird Rd
Ste E151
Glendale, AZ 85306
Phone (602) 843-3811

6750 E Baywood Ave
Ste 503
Mesa, AZ 85206
Phone (480) 543-3030

13943 N 91st Ave
Ste A101
Peoria, AZ 85381
Phone (480) 900-7373

14416 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 583-5083

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2403

1401 Court St
Pueblo, CO 81003
Phone (719) 562-2300

1619 N Greenwood St
Ste 106
Pueblo, CO 81003
Phone (719) 595-7760

400 W 16th St
Pueblo, CO 81003
Phone (719) 584-4000

699 W Cocoa Beach Cswy
Cocoa Beach, FL 32931
Phone (321) 549-0815

699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272

699 W Cocoa Beach Cswy
Unit 202
Cocoa Beach, FL 32931
Phone (321) 434-3457

1223 Gateway Dr
Melbourne, FL 32901
Phone (321) 549-0677

1223 Gateway Dr
Ste 2C
Melbourne, FL 32901
Phone (321) 549-0815

3330 Waterman Way
Tavares, FL 32778
Phone (352) 385-3022

610 W Hays St
Boise, ID 83702
Phone (208) 345-3530

746 N College Rd
Ste D
Twin Falls, ID 83301
Phone (208) 814-7230

775 Pole Line Rd W
Ste 213
Twin Falls, ID 83301
Phone (208) 814-8475

705 N College St
Albany, MO 64402
Phone (660) 726-3941

2016 S Main St
Maryville, MO 64468
Phone (660) 562-2525

5202 Faraon St
Ste A
Saint Joseph, MO 64506
Phone (816) 271-1070

802 N Riverside Rd
Ste 200
Saint Joseph, MO 64507
Phone (816) 271-6666

901 Heartland Rd
Ste 2800
Saint Joseph, MO 64506
Phone (816) 271-1085

Networks

  • WA PPO C-SNP
  • IA HMO
  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Med Care Hospice IncGreenwood Village, CO, CCN 061631 Hospice Contracted Managing Employee Apr 12, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 40

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.

View all 40

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1341532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1053676049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 KELLER PKWY UNIT 3008",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762483749",
            "telephone_number": "210-784-7281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 S COULTER ST STE 204",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061765",
            "telephone_number": "806-340-0550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "699 W Cocoa Beach Cswy",
            "address_purpose": "LOCATION",
            "city": "Cocoa Beach",
            "state": "FL",
            "postal_code": "329313577",
            "country_code": "US",
            "telephone_number": "321-549-0815",
            "fax_number": "321-768-0039",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2525 DeSales Ave",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374041161",
            "country_code": "US",
            "telephone_number": "423-495-2525",
            "fax_number": "423-495-6312",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "775 Pole Line Rd W Ste 213",
            "address_purpose": "LOCATION",
            "city": "Twin Falls",
            "state": "ID",
            "postal_code": "833015820",
            "country_code": "US",
            "telephone_number": "208-814-8475",
            "fax_number": "208-814-8953",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1710 Keller Pkwy Unit 3008",
            "address_purpose": "LOCATION",
            "city": "Keller",
            "state": "TX",
            "postal_code": "762483749",
            "country_code": "US",
            "telephone_number": "210-784-7281",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "802 N Riverside Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MO",
            "postal_code": "645072553",
            "country_code": "US",
            "telephone_number": "816-271-6666",
            "fax_number": "816-271-1300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3355 Riverbend Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OR",
            "postal_code": "974778800",
            "country_code": "US",
            "telephone_number": "541-222-8333",
            "fax_number": "541-222-8320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3377 Riverbend Dr Ste 340",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OR",
            "postal_code": "974778803",
            "country_code": "US",
            "telephone_number": "541-222-8080",
            "fax_number": "541-222-8398",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1223 Gateway Dr",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329012607",
            "country_code": "US",
            "telephone_number": "321-549-0815",
            "fax_number": "321-768-0039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALARHAYEM",
        "first_name": "ABDUL-QADER",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-06",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TN",
            "license": "76029",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "WY",
            "license": "16292A",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME129683",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TX",
            "license": "T4104",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NH",
            "license": "35223",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "ID",
            "license": "3871440",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MO",
            "license": "2022011041",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "AZ",
            "license": "59800",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OR",
            "license": "MD225608",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABDUL-QADER",
            "last_name": "ALARHAYEM",
            "middle_name": "SUFYAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.