Active NPI
Hisham Gibriel Bakhiet Elkhider, MD
- Neurology Physician
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- E-13791
- Practice address
- 245 Cherry St SE Ste 104
Grand Rapids, MI 49503-4607 - Phone
- (616) 685-5050
- Fax
- (616) 685-8962
- NPI assigned
- Jun 29, 2017
- Last updated
- Sep 30, 2025
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 4301509621 | MI | |
| Neurology Physician | 2084N0400X | MD20290 | RI | |
| Neurology Physician | 2084N0400X | E-13791 | AR | Primary |
| Neurology Physician | 2084N0400X | 286522 | MA |
Addresses
Primary practice location
245 Cherry St SE Ste 104
Grand Rapids, MI 49503-4607
Mailing address
4301 W Markham St # 783
Little Rock, AR 72205-7101
Phone (501) 686-8000
Other practice location 1
680 Centre St
Brockton, MA 02302-3308
Phone (508) 941-7000
Other practice location 2
455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (972) 449-0540
Other practice location 3
4301 W Markham St # 500
Little Rock, AR 72205-7101
Phone (501) 686-5838
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1000197871 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, AR, MA, MI, NE, CT, NJ, RI, ME, NH, MD, PA, WV, KY, VT, DC, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 17
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Appalachian Regional Healthcare Inc
Practice addresses (Care Compare)
1053 Lindell Ave
Petoskey, MI 49770-3231
Phone (972) 449-0540
20 York St
New Haven, CT 06510-3220
Phone (972) 449-0540
200 Medical Ctr Dr
Hazard, KY 41701-9466
Phone (606) 487-7510
208 Sologne CT
Little Rock, AR 72223-8915
Phone (972) 449-0540
245 Cherry St SE
Suite 104
Grand Rapids, MI 49503-4607
Phone (616) 685-5050
3000 Medical Ctr Pkwy
Bentonville, AR 72712-3217
Phone (972) 449-0540
326 Washington St
Norwich, CT 06360-2740
Phone (972) 449-0540
4149 W Benham Way
Okemos, MI 48864-2477
Phone (606) 487-7955
455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (972) 449-0540
50 Hospital Hill Rd
Sharon, CT 06069-2096
Phone (972) 449-0540
540 Litchfield St
Torrington, CT 06790-6679
Phone (972) 449-0540
65 Harwich Rd
Providence, RI 02906-4919
Phone (972) 449-0540
680 Centre St
Brockton, MA 02302-3308
Phone (508) 941-7000
850 W Baraga Ave
Marquette, MI 49855-4550
Phone (972) 449-0540
N10561 Grandview LN
Ironwood, MI 49938-9622
Phone (972) 449-0540
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 339833 | NY | MD | General Practice Registered Nurse |
| 286522 | MA | MD | Neurology Physician |
| 4301509621 | MI | MD | Neurology Physician |
Practice roles
Locations (25 of 32)
4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278
4301 W Markham St
#500
Little Rock, AR 72205
Phone (501) 296-1165
4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278
2771 Solution Ctr
Chicago, IL 60677
80 Hospital Dr
Barbourville, KY 40906
Phone (606) 545-5500
80 Hospital Dr
#2
Barbourville, KY 40906
Phone (606) 545-4460
37 Ball Park Rd
Harlan, KY 40831
Phone (606) 263-3900
100 Airport Gardens Rd
Hazard, KY 41701
Phone (606) 216-5145
181 Roy Campbell Dr
Hazard, KY 41701
Phone (606) 439-1316
200 Medical Dr
Hazard, KY 41701
Phone (606) 439-5057
200 Medical Dr
Ste 3P
Hazard, KY 41701
Phone (606) 439-3334
130 Kate Ireland Dr
Hyden, KY 41749
Phone (606) 672-2341
77 Millard Allen Dr E
Lackey, KY 41643
Phone (606) 358-2381
11087 Main St
Martin, KY 41649
Phone (606) 285-3690
3504 Cumberland Ave
Middlesboro, KY 40965
Phone (606) 248-0737
5000 Ky Route 321
Ste 1001
Prestonsburg, KY 41653
Phone (606) 889-6390
5000 Ky Route 321
Ste 112
Prestonsburg, KY 41653
Phone (606) 889-6038
186 Brenna Blvd
Ste 100
Salyersville, KY 41465
Phone (606) 349-3800
306 Hospital Dr
South Williamson, KY 41503
Phone (606) 237-1700
306 Hospital Dr
#110A
South Williamson, KY 41503
Phone (606) 237-1740
2662 King Kelly Coleman Hwy
Wayland, KY 41666
Phone (606) 358-4211
214 Hospital Rd
Ste A
Whitesburg, KY 41858
Phone (606) 633-2255
680 Centre St
Brockton, MA 02302
Phone (508) 941-7400
780 S Main St
Ste 2
Gt Barrington, MA 01230
Phone (413) 447-2498
725 North St
Pittsfield, MA 01201
Phone (413) 447-2839
Interoperability endpoints
- helkhider@direct.carene.org
- helkhider2890798@direct.trinity-health.org
- hisham.elkhider@direct.signature.masshiway.net
- hishamelkhider@arh.medalliesdirect.net
Organizations & group practices 32
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.
-
dba Trinity Health Medical Group
- Multi-Specialty Clinic/Center
- Grand Rapids, MI
- NPI 1376862151
-
dba Signature Medical
- Internal Medicine Physician
- Brockton, MA
- NPI 1508804949
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1013303080
AR, CT, DC, MD, MI, NJ, NY, PA, RI, VT, WV
-
dba Hazard ARH Regional Medical Center
- Anatomic Pathology & Clinical Pathology Physician
- Hazard, KY
- NPI 1780728881
MI
-
dba ARH Family Care Wheelwright
- Primary Care Clinic/Center
- Bypro, KY
- NPI 1861671117
-
dba ARH Cumberland Valley Medical and Surgical Associates - Corbin
- Multi-Specialty Clinic/Center
- Corbin, KY
- NPI 1053983908
-
dba Hyden ARH Clinic
- Rural Health Clinic/Center
- Hyden, KY
- NPI 1073898102
-
dba ARH Our Lady of the Way
- Critical Access Hospital
- Martin, KY
- NPI 1306339460
-
dba ARH Primary Care Paintsville
- Multi-Specialty Clinic/Center
- Paintsville, KY
- NPI 1588328967
-
- Multi-Specialty Clinic/Center
- Pittsfield, MA
- NPI 1548212939
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Health Muskegon
- General Acute Care Hospital
- Muskegon, MI
- NPI 1831132133
-
dba Mercy Health Saint Mary's
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1639111057
-
dba Arh Hazard Family Health Services
- Multi-Specialty Clinic/Center
- Hazard, KY
- NPI 1558431346
Hospital
-
dba Hazard ARH Regional Medical Center
- General Acute Care Hospital
- Hazard, KY
- NPI 1609869916
-
dba Highlands ARH Regional Medical Center
- General Acute Care Hospital
- Prestonsburg, KY
- NPI 1043878325
-
dba ARH Medical and Surgical Associates - Highlands
- Multi-Specialty Clinic/Center
- Prestonsburg, KY
- NPI 1700445319
Hospital
-
dba Signature Healthcare Brockton Hospital
- General Acute Care Hospital
- Brockton, MA
- NPI 1063431286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759190400000",
"number": "1831610815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4301 W MARKHAM ST # 783",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722057101",
"telephone_number": "501-686-8000",
"fax_number": "501-526-5148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 CHERRY ST SE STE 104",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495034607",
"telephone_number": "616-685-5050",
"fax_number": "616-685-8962"
}
],
"practiceLocations": [
{
"address_1": "680 Centre St",
"address_purpose": "LOCATION",
"city": "Brockton",
"state": "MA",
"postal_code": "023023308",
"country_code": "US",
"telephone_number": "508-941-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "455 Toll Gate Rd",
"address_purpose": "LOCATION",
"city": "Warwick",
"state": "RI",
"postal_code": "028862759",
"country_code": "US",
"telephone_number": "972-449-0540",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4301 W Markham St # 500",
"address_purpose": "LOCATION",
"city": "Little Rock",
"state": "AR",
"postal_code": "722057101",
"country_code": "US",
"telephone_number": "501-686-5838",
"fax_number": "501-526-7145",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELKHIDER",
"first_name": "HISHAM",
"middle_name": "GIBRIEL BAKHIET",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-29",
"last_updated": "2025-09-30",
"certification_date": "2025-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MI",
"license": "4301509621",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "RI",
"license": "MD20290",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "AR",
"license": "E-13791",
"primary": true
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MA",
"license": "286522",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000197871",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; 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.