Active NPI
Wesam A. Bolkhir, M.D.
- Hospitalist Physician
- Ellsworth, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 48702
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35.130818 | Other | OH | STATE LICENSE |
| 0L025959A | Other | IN | STATE LICENSE |
| 23943 | Other | WV | STATE LICENSE |
| 2015-02417 | Other | NC | STATE LICENSE |
| 2015039932 | Other | MO | STATE LICENSE |
| 04-41536 | Other | AL | STATE LICENSE |
| Q7150 | Other | TX | STATE LICENSE |
| 52862 | Other | TN | STATE LICENSE |
| MD455359 | Other | PA | STATE LICENSE |
| ME124779 | Other | FL | STATE LICENSE |
| 0101259122 | Other | VA | STATE LICENSE |
| 48702 | Other | KY | STATE LICENSE |
| 51128 | Other | AZ | STATE LICENSE |
| MD22886 | Other | ME | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, MO, IN, TN, ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Medicine | 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 PCDunn Physician Services LLCSoutheastern Physician Services PC
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
- Meadowview Regional Medical Center
- Research Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48702 | KY | MD | Hospitalist Physician |
| MD22886 | ME | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nes Medical Services of New England Inc | Current | Accepting new patients | |
| Hospital Medicine Services of Maine LLC | Hospitalist | Current | Accepting new patients |
| Cogent Healthcare of Missouri, Inc | Current | Accepting new patients | |
| Sound Physicians of Illinois, LLC | Internal Medicine | Current | Accepting new patients |
| Maine Medical Partners | Current | Accepting new patients | |
| Glutality Provider Group, P.a. | Internal Medicine | Current | Accepting new patients |
| Maine Medical Partners | Current | Accepting new patients | |
| Maine Medical Services LLC | Internal Medicine | Current | Accepting new patients |
| Dunn Physician Services, LLC | Hospitalist | Current | Accepting new patients |
| Hospital Medicine Services of Tennessee PC | Internal Medicine | Current | Accepting new patients |
| Apogee Medical Group Kentucky PSC | Current | Accepting new patients | |
| Summit Medical Group, PLLC | Internal Medicine | Current | Accepting new patients |
| Summit Medical Group, PLLC | Current | Accepting new patients | |
| Southeastern Physician Services PC | Internal Medicine | Current | 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
- https://api.platform.athenahealth.com/21509/brand/1/csg/1/fhir/r4
- 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.
-
- Hospitalist Physician
- Lawrenceburg, IN
- NPI 1528433802
IN, Internal Medicine, KY, TN
-
- Hospitalist Physician
- Oak Ridge, TN
- NPI 1083835441
Internal Medicine, KY, TN
-
- Hospitalist Physician
- Ellsworth, ME
- NPI 1538638432
Hospitalist, ME
-
- Critical Care Medicine (Internal Medicine) Physician
- Fenton, MO
- NPI 1780961599
MO
-
- Internal Medicine Physician
- Boca Raton, FL
- NPI 1083256168
Internal Medicine, MO
-
- Hospitalist Physician
- Bridgeton, MO
- NPI 1043598865
Internal Medicine, MO
-
- Internal Medicine Physician
- Brentwood, TN
- NPI 1659090298
Internal Medicine, TN
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Health Clinic/Center
- Maysville, KY
- NPI 1821135518
Hospital
-
- Rural Acute Care Hospital
- Maysville, KY
- NPI 1881785863
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.