Individual provider Active NPI

Hammad H. Bokhari, MD

  • Family Medicine Physician
  • Jeffersonville, IN
National Provider Identifier
1104832161
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01057661A Issued in IN
Practice address
2916 Peach Blossom Dr Ste 101
Jeffersonville, IN 47130-8380
Phone
(812) 590-1600
Fax
(812) 590-6561
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 38271 KY
Family Medicine Physician 207Q00000X 01057661A IN Primary

Addresses

Primary practice location

2916 Peach Blossom Dr Ste 101
Jeffersonville, IN 47130-8380

Mailing address

2916 Peach Blossom Dr Ste 101
Jeffersonville, IN 47130-8380
Phone (812) 590-1600

Other identifiers 8

IdentifierTypeStateIssuer
CS1632000276OtherKYCARESOURCE
P00149170OtherKYRAILROAD MEDICARE
P01729280OtherKYRAILROAD MEDICARE - PALMETTO
000001014920OtherKYANTHEM BCBS
64070477MedicaidKY
000000305211OtherKYANTHEM PROVIDER ID
DA2673OtherKYRR MEDICARE GRP
CS1632000276OtherKYHUMANA-CARESOURSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20051114001026 IN Practitioner - Family PracticePractitioner - Emergency Medicine 3678532678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
University of Kentucky College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Horizons Physical Therapy Limited Partnership 77 clinicians
Community Healthcare Consultants LLC 2 clinicians

Practice addresses (Care Compare)

2125 State St
New Albany, IN 47150-4972

2916 Peach Blossom Dr
Suite 101
Jeffersonville, IN 47130-8380
Phone (812) 590-1600

Hospital & facility affiliations

  • Adoration Home Health Home health agency, Jeffersonville, IN, CCN 157221
  • Caretenders Home health agency, New Albany, IN, CCN 157571
  • Norton Clark Hospital Hospital, Jeffersonville, IN, CCN 150009

Merit-based Incentive Payment System (MIPS)

Final score
94.77 of 100Reported as group
Quality
89.49
Promoting interoperability
100
Improvement activities
40
Cost
76.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01057661AINMDFamily Medicine Physician
38271KYMDFamily Medicine Physician
R0040KYMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Healthcare Consultants LLC Family Medicine CurrentSince Mar 30, 2016 Accepting new patients
Southeastern Emergency Physicians of Memphis LLC Past Accepting new patients
Pearl Medical Practice PLLC PastSince Jan 31, 2021 Accepting new patients
Bokhari & Bokhari, PLLC. Past Accepting new patients
First Stop Urgent Care Center PSC Family Medicine Past Accepting new patients

Locations

2916 Peach Blossom Dr
Ste 101
Jeffersonvlle, IN 47130
Phone (502) 544-7186

Interoperability endpoints

  • Direct secure messaging: hammad.bokhari.2@13302.direct.athenahealth.com
  • Direct secure messaging: hammad.bokhari.1@13302.direct.athenahealth.com

Organizations & group practices 6

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

Hospital & facility affiliations 3

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1104832161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2916 PEACH BLOSSOM DR STE 101",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471308380",
            "telephone_number": "812-590-1600",
            "fax_number": "812-590-6561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2916 PEACH BLOSSOM DR STE 101",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471308380",
            "telephone_number": "812-590-1600",
            "fax_number": "812-590-6561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOKHARI",
        "first_name": "HAMMAD",
        "middle_name": "H.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "38271",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01057661A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "CS1632000276",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00149170",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE - PALMETTO",
            "identifier": "P01729280",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000001014920",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64070477",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER ID",
            "identifier": "000000305211",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GRP",
            "identifier": "DA2673",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA-CARESOURSE",
            "identifier": "CS1632000276",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeffersonville, IN

Sources for this page

Verify at the official NPI Registry.