Individual provider Active NPI

Wesam A. Bolkhir, M.D.

  • Hospitalist Physician
  • Ellsworth, ME
National Provider Identifier
1407060189
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
48702 Issued in KY
Practice address
50 Union St
Ellsworth, ME 04605-1534
Phone
(207) 664-5311
NPI assigned
May 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 48702 KY
Internal Medicine Physician 207R00000X 23943 WV
Hospitalist Physician 208M00000X MD22886 ME
Hospitalist Physician 208M00000X 48702 KY Primary
Internal Medicine Physician 207R00000X 52862 TN

Addresses

Primary practice location

50 Union St
Ellsworth, ME 04605-1534

Mailing address

100 Medical PLZ
Lake St Louis, MO 63367-1366
Phone (636) 625-5200

Other practice location 1

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 662-4618

Other identifiers 14

IdentifierTypeStateIssuer
35.130818OtherOHSTATE LICENSE
0L025959AOtherINSTATE LICENSE
23943OtherWVSTATE LICENSE
2015-02417OtherNCSTATE LICENSE
2015039932OtherMOSTATE LICENSE
04-41536OtherALSTATE LICENSE
Q7150OtherTXSTATE LICENSE
52862OtherTNSTATE LICENSE
MD455359OtherPASTATE LICENSE
ME124779OtherFLSTATE LICENSE
0101259122OtherVASTATE LICENSE
48702OtherKYSTATE LICENSE
51128OtherAZSTATE LICENSE
MD22886OtherMESTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, MO, IN, TN, ME5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20161111001897 KY Practitioner - Internal Medicine 0042347486 Reassigns benefits to 3 organizations
I20170501000260 MO Practitioner - Internal Medicine 0042347486 Reassigns benefits to 4 organizations
I20180117002812 IN Practitioner - Internal MedicinePractitioner - Hospitalist 0042347486 Reassigns benefits to 1 organization
I20180730003078 TN Practitioner - Internal Medicine 0042347486 Reassigns benefits to 3 organizations
I20200820000999 ME Practitioner - Internal Medicine 0042347486 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Medicine Services of Tennessee PC 157 clinicians
Dunn Physician Services LLC 44 clinicians
Southeastern Physician Services PC 591 clinicians

Practice addresses (Care Compare)

106 Medical Ctr Blvd
Fayetteville, TN 37334-2684
Phone (931) 438-1100

2316 E Meyer Blvd
Kansas City, MO 64132-1136
Phone (816) 276-4000

651 Dunlop LN
Clarksville, TN 37040-5015
Phone (931) 502-1370

9 Linville Dr
Paris, KY 40361-2129
Phone (859) 987-3600

989 Medical Park Dr
Maysville, KY 41056-8750
Phone (606) 759-3114

Hospital & facility affiliations

  • Lincoln Medical Center Hospital, Fayetteville, TN, CCN 440102
  • Meadowview Regional Medical Center Hospital, Maysville, KY, CCN 180019
  • Research Medical Center Hospital, Kansas City, MO, CCN 260027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48702KYMDHospitalist Physician
MD22886MEMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nes Medical Services of New England Inc CurrentSince Jul 1, 2022 Accepting new patients
Hospital Medicine Services of Maine LLC Hospitalist CurrentSince Jun 1, 2020 Accepting new patients
Cogent Healthcare of Missouri, Inc CurrentSince Oct 15, 2022 Accepting new patients
Sound Physicians of Illinois, LLC Internal Medicine CurrentSince Jul 26, 2017 Accepting new patients
Maine Medical Partners CurrentSince Mar 7, 2022 Accepting new patients
Glutality Provider Group, P.a. Internal Medicine CurrentSince Jun 1, 2024 Accepting new patients
Maine Medical Partners CurrentSince Mar 7, 2022 Accepting new patients
Maine Medical Services LLC Internal Medicine CurrentSince Jun 1, 2020 Accepting new patients
Dunn Physician Services, LLC Hospitalist CurrentSince Dec 23, 2025 Accepting new patients
Hospital Medicine Services of Tennessee PC Internal Medicine CurrentSince Nov 1, 2016 Accepting new patients
Apogee Medical Group Kentucky PSC CurrentSince Jul 18, 2016 Accepting new patients
Summit Medical Group, PLLC Internal Medicine CurrentSince Jan 29, 2018 Accepting new patients
Summit Medical Group, PLLC CurrentSince Jan 29, 2018 Accepting new patients
Southeastern Physician Services PC Internal Medicine CurrentSince Jan 14, 2025 Accepting new patients
North Elston Immediate & Primary Care Past Accepting new patients

Locations (25 of 43)

3707 E Southern Ave
#12
Mesa, AZ 85206
Phone (224) 430-7848

5300 Broken Sound Blvd NW
Ste 200
Boca Raton, FL 33487
Phone (888) 657-2560

4620 E 53rd St
Ste 200
Davenport, IA 52807
Phone (563) 213-5100

1 Westbrook Corporate Ctr
Ste 300
Westchester, IL 60154
Phone (630) 709-1501

1451 N Gardner St
Scottsburg, IN 47170
Phone (812) 752-8500

1251 N Eddy St
Ste 200
South Bend, IN 46617
Phone (219) 286-7258

310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612

9850 Von Allmen Ct
Ste 201
Louisville, KY 40241
Phone (480) 269-9248

989 Medical Park Dr
Maysville, KY 41056
Phone (606) 759-3112

9 Linville Dr
Paris, KY 40361
Phone (859) 987-3600

305 Langdon St
Somerset, KY 42503
Phone (606) 451-2994

360 Amsden Ave
Versailles, KY 40383
Phone (606) 873-3111

360 Broadway
Bangor, ME 04401
Phone (207) 262-1703

50 Union St
Ste B16
Ellsworth, ME 04605

50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304

91 Campus Ave
Lewiston, ME 04240
Phone (207) 777-8950

447 N Main St
Pittsfield, ME 04967
Phone (207) 487-0981

6 City Ctr
Fl 3
Portland, ME 04101

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

22 Bramhall St
Rm 2227
Portland, ME 04102
Phone (207) 662-4618

100 Campus Dr
Unit 107
Scarborough, ME 04074
Phone (207) 396-7565

200 Kennedy Memorial Dr
Waterville, ME 04901
Phone (207) 861-3000

12303 De Paul Dr
Bridgeton, MO 63044
Phone (314) 344-6360

100 Chesterfield Business Pkwy
Fl 2
Chesterfield, MO 63005
Phone (314) 355-8585

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21509/brand/1/csg/1/fhir/r4
  • Direct secure messaging: bolkhir_wesam_143_-_phy_general_practice@yourcarecommunity.org

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 4

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": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1407060189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MEDICAL PLZ",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "633671366",
            "telephone_number": "636-625-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 UNION ST",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046051534",
            "telephone_number": "207-664-5311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Bramhall St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041023134",
            "country_code": "US",
            "telephone_number": "207-662-4618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLKHIR",
        "first_name": "WESAM",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2024-06-20",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "48702",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "23943",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "ME",
            "license": "MD22886",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "KY",
            "license": "48702",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "52862",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "35.130818",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "0L025959A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "23943",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "2015-02417",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "2015039932",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "04-41536",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "Q7150",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "52862",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "MD455359",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "ME124779",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "0101259122",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "48702",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "51128",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "MD22886",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellsworth, ME

Sources for this page

Verify at the official NPI Registry.