Active NPI
Syed Amin Bokhari, MD
- Internal Medicine Physician
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD00047742
- Practice address
- 700 NE 87TH Ave
Vancouver, WA 98664-1913 - Phone
- (360) 397-1500
- Fax
- (360) 397-3128
- NPI assigned
- Mar 26, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD00047742 | WA | Primary |
Addresses
Primary practice location
700 NE 87TH Ave
Vancouver, WA 98664-1913
Mailing address
700 NE 87TH Ave
Vancouver, WA 98664-1913
Phone (360) 397-1500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8483596 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
77 W Barnes St
Gouverneur, NY 13642-1132
Phone (315) 287-1000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.56 of 100
- Quality
- 87.76
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00047742 | WA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gouverneur Hospital | Current | Accepting new patients | |
| Massena Hospital Inc | Current | Accepting new patients | |
| Canton-Potsdam Hospital | Current | Accepting new patients | |
| Massena Hospital, Inc | Current | Accepting new patients | |
| Canton-Potsdam Hospital | Current | Accepting new patients | |
| Delphi Hospitalist Services LLC | Current | Accepting new patients | |
| Gouverneur Hospital | Current | Accepting new patients | |
| Delphi Healthcare PLLC | Past | Accepting new patients | |
| Workfit Medical Associates, PLLC | Past | Accepting new patients |
Locations
77 W Barney St
Gouverneur, NY 13642
Phone (315) 287-1000
1 Hospital Dr
Massena, NY 13662
Phone (315) 764-1711
50 Leroy St
Potsdam, NY 13676
Phone (315) 261-6034
201 Market St
Ste E
Potsdam, NY 13676
Phone (315) 274-9102
191 N Main St
Wellsville, NY 14895
Phone (585) 593-1100
Organizations & group practices 9
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.
-
dba Gouverneur Hospital, Inc. Medical Professional Group
- Critical Access Hospital
- Gouverneur, NY
- NPI 1295156412
-
- General Acute Care Hospital
- Potsdam, NY
- NPI 1568548782
-
- Hospitalist Physician
- Rochester, NY
- NPI 1922270420
-
- Critical Access Hospital
- Massena, NY
- NPI 1972604460
-
- Medicare Defined Swing Bed Hospital Unit
- Potsdam, NY
- NPI 1114104445
-
- Critical Access Hospital
- Gouverneur, NY
- NPI 1629409925
-
- Medicare Defined Swing Bed Hospital Unit
- Massena, NY
- NPI 1619756640
-
- Emergency Medicine Physician
- Wellsville, NY
- NPI 1003075029
-
- Emergency Medicine Physician
- Rochester, NY
- NPI 1962349134
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Potsdam, NY
- NPI 1568548782
-
- Critical Access Hospital
- Gouverneur, NY
- NPI 1629409925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203552000000",
"number": "1396863916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 NE 87TH AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986641913",
"telephone_number": "360-397-1500",
"fax_number": "360-397-3128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 NE 87TH AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986641913",
"telephone_number": "360-397-1500",
"fax_number": "360-397-3128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOKHARI",
"first_name": "SYED",
"middle_name": "AMIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-26",
"last_updated": "2008-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD00047742",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8483596",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.