Individual provider Active NPI

Syed W Bokhari, M. D.

  • Interventional Cardiology Physician
  • Riverside, CA
National Provider Identifier
1619918943
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
A69346 Issued in CA
Practice address
4646 Brockton Ave Ste 301
Riverside, CA 92506-0103
Phone
(951) 682-6900
Fax
(951) 682-6905
NPI assigned
Jun 9, 2006
Last updated
Aug 11, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A69346 CA
Interventional Cardiology Physician 207RI0011X A69346 CA Primary

Addresses

Primary practice location

4646 Brockton Ave Ste 301
Riverside, CA 92506-0103

Mailing address

3681 Sunnyside Dr Unit 2278
Riverside, CA 92516-4013
Phone (951) 682-6900

Other identifiers 1

IdentifierTypeStateIssuer
00A693460MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20040212000417 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9830083526 Reassigns benefits to 1 organization
I20240904004735 AZ Practitioner - Interventional Cardiology 9830083526 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4646 Brockton Ave
Suite 301
Riverside, CA 92506-0103
Phone (951) 682-6900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting59
Varicose vein removal56
Leg revascularization (restoring blood flow)15

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Heart & Vascular Physicians Inc Interventional Cardiology CurrentSince Aug 3, 2015 Accepting new patients
Advanced Minimally Invasive Surgical CurrentSince Jun 23, 2024 Accepting new patients
Modern Nuclear, Inc. CurrentSince Dec 14, 2005 Accepting new patients
Progressive Pain Management Inc CurrentSince Jun 23, 2024 Accepting new patients
Michael F Esber DPM PC CurrentSince Jun 23, 2024 Accepting new patients
Advanced Minimally Invasive Surgical CurrentSince Jun 23, 2024 Accepting new patients
Hope Diabetes Center, LLC Past Accepting new patients
Gregg Krahn DPM PC Past Accepting new patients
Rancho Faculty Medical Associates, Inc. Past Accepting new patients
Floyd I Miller DPM PC Past Accepting new patients

Locations

1653 E McMurray Blvd
Ste 144
Casa Grande, AZ 85122
Phone (520) 836-8644

1134 E University Dr
Ste 111
Mesa, AZ 85203
Phone (480) 398-1220

3048 E Baseline Rd
Ste 122
Mesa, AZ 85204
Phone (480) 497-5933

535 E McKellips Rd
Ste 111
Mesa, AZ 85203
Phone (480) 223-1333

202 E Earll Dr
Ste 360
Phoenix, AZ 85012
Phone (480) 323-6072

5060 N 19th Ave
Ste 207
Phoenix, AZ 85015
Phone (480) 488-5621

9150 W Indian School Rd
Ste 118
Phoenix, AZ 85037
Phone (623) 247-5700

6908 E Thomas Rd
Scottsdale, AZ 85251
Phone (702) 929-4299

14418 W Meeker Blvd
Ste 205
Sun City West, AZ 85375
Phone (623) 546-4930

11323 W Bell Rd
Surprise, AZ 85378

16003 Tuscola Rd
Ste F
Apple Valley, CA 92307
Phone (760) 242-8221

12810 Heacock St
Ste B201
Moreno Valley, CA 92553
Phone (951) 601-2363

3681 Sunnyside Dr
Unit 2278
Riverside, CA 92516

4646 Brockton Ave
Ste 301
Riverside, CA 92506
Phone (951) 682-6900

6713 Indiana Ave
Ste 115
Riverside, CA 92506

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 11

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 2

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1619918943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3681 SUNNYSIDE DR UNIT 2278",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925164013",
            "telephone_number": "951-682-6900",
            "fax_number": "951-682-6905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 BROCKTON AVE STE 301",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925060103",
            "telephone_number": "951-682-6900",
            "fax_number": "951-682-6905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOKHARI",
        "first_name": "SYED",
        "middle_name": "W",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A69346",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A69346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A693460",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.