Individual provider Active NPI

Khalid Azam Alkimawi, MD

  • Gastroenterology Physician
  • Indianapolis, IN
National Provider Identifier
1609022094
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
0101261365 Issued in VA
Practice address
8333 Naab Rd Ste 230
Indianapolis, IN 46260-1983
Phone
(317) 415-6580
NPI assigned
Aug 18, 2008
Last updated
Feb 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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 246472 MA
Internal Medicine Physician 207R00000X 01073192A IN
Gastroenterology Physician 207RG0100X 40581 SC
Gastroenterology Physician 207RG0100X 0101261365 VA Primary
Gastroenterology Physician 207RG0100X 01073192A IN

Addresses

Primary practice location

8333 Naab Rd Ste 230
Indianapolis, IN 46260-1983

Mailing address

1340 Central Park Blvd Ste 100
Fredericksbrg, VA 22401-4940
Phone (540) 741-4257

Other practice location 1

4320 Seminary Rd
Alexandria, VA 22304-1535
Phone (703) 504-3000

Other practice location 2

1031 Care Way
Fredericksbrg, VA 22401-8425
Phone (540) 371-2046

Other practice location 3

2501 Parkers Ln
Alexandria, VA 22306-3209
Phone (703) 664-7000

Other practice location 4

44045 Riverside Pkwy
Leesburg, VA 20176-5101
Phone (703) 858-6000

Other practice location 5

3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-4001

Other practice location 6

2739 Laurel St Ste 1A
Columbia, SC 29204-2028
Phone (803) 799-4800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address khlaid.alkimawi.1@7598.direct.athenahealth.com St. Vincent Medical Group, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, DC, VA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20140710001994 IN Practitioner - GastroenterologyPractitioner - Internal Medicine 0648495408 Reassigns benefits to 1 organization
I20210806000623 DC Practitioner - Gastroenterology 0648495408 Reassigns benefits to 3 organizations
I20210910000940 VA Practitioner - Gastroenterology 0648495408 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mary Washington Healthcare Providers LLCGroup PAC ID 1456629369, 264 clinicians
St Vincent Medical Group IncGroup PAC ID 7012047640, 728 clinicians
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

Practice addresses (Care Compare)

1031 Care Way
Fredericksburg, VA 22401-8425
Phone (540) 371-7600

13500 N Meridian St
Carmel, IN 46032-1456
Phone (317) 582-7000

2001 W 86TH St
Indianapolis, IN 46260-1902
Phone (317) 338-2345

2557 Chain Bridge Rd
Vienna, VA 22181-5517
Phone (703) 705-7555

3300 Gallows Rd
Falls Church, VA 22042-3307

4320 Seminary Rd
Alexandria, VA 22304-1535

8433 Harcourt Rd
Suite 100
Indianapolis, IN 46260-2193
Phone (317) 583-7600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy76
Upper gastrointestinal (GI) endoscopy for acid reflux124

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
246472MAMDInternal Medicine Physician
0101261365VAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Medical Group, Inc. Internal Medicine CurrentSince Jan 1, 2019 Accepting new patients
Mary Washington Healthcare Providers LLC Gastroenterology CurrentSince Nov 3, 2025 Accepting new patients
St. Vincent Medical Group, Inc. Internal Medicine CurrentSince Jan 1, 2019 Accepting new patients
Inova Health Care Services Internal Medicine CurrentSince Jul 19, 2021 Accepting new patients
Mira Integrative Clinic PastSince Oct 2, 2022 Accepting new patients
Palmetto Health Past Accepting new patients

Locations

2010 W 86th St
Ste 111
Indianapolis, IN 46260
Phone (317) 415-6580

250 W 96th St
#520
Indianapolis, IN 46260
Phone (317) 583-3331

8333 Naab Rd
Ste 230
Indianapolis, IN 46260
Phone (317) 415-6580

8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

1031 Care Way
Fredericksburg, VA 22401
Phone (540) 371-7600

1340 Central Park Blvd
Ste 100
Fredericksburg, VA 22401

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

Interoperability endpoints

  • Direct secure messaging: khalid.alkimawi.1@30475.direct.athenahealth.com
  • Direct secure messaging: khlaid.alkimawi.1@7598.direct.athenahealth.com

Organizations & group practices 8

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.

Hospital & facility affiliations 8

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": "1219017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1609022094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 CENTRAL PARK BLVD STE 100",
            "city": "FREDERICKSBRG",
            "state": "VA",
            "postal_code": "224014940",
            "telephone_number": "540-741-4257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8333 NAAB RD STE 230",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601983",
            "telephone_number": "317-415-6580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4320 Seminary Rd",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223041535",
            "country_code": "US",
            "telephone_number": "703-504-3000",
            "fax_number": "703-504-3388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1031 Care Way",
            "address_purpose": "LOCATION",
            "city": "Fredericksbrg",
            "state": "VA",
            "postal_code": "224018425",
            "country_code": "US",
            "telephone_number": "540-371-2046",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2501 Parkers Ln",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223063209",
            "country_code": "US",
            "telephone_number": "703-664-7000",
            "fax_number": "703-664-7666",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "44045 Riverside Pkwy",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "VA",
            "postal_code": "201765101",
            "country_code": "US",
            "telephone_number": "703-858-6000",
            "fax_number": "703-858-6900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3300 Gallows Rd",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220423307",
            "country_code": "US",
            "telephone_number": "703-776-4001",
            "fax_number": "703-776-7113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2739 Laurel St Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292042028",
            "country_code": "US",
            "telephone_number": "803-799-4800",
            "fax_number": "803-256-0397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALKIMAWI",
        "first_name": "KHALID",
        "middle_name": "AZAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-18",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "246472",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01073192A",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "SC",
            "license": "40581",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "VA",
            "license": "0101261365",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IN",
            "license": "01073192A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "khlaid.alkimawi.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St. Vincent Medical Group, Inc.",
            "address_1": "8333 Naab Rd Ste 230",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462601983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.