Individual provider Active NPI

Ali Kimyaghalam, M.D.

  • Vascular Surgery Physician
  • Cheyenne, WY
National Provider Identifier
1922455146
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
18666A Issued in WY
Practice address
2301 House Ave Ste 301
Cheyenne, WY 82001-3178
Phone
(307) 637-1600
Fax
(307) 637-1699
NPI assigned
May 17, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 35.142390 OH
Surgery Physician 208600000X 311290 NY
Vascular Surgery Physician 2086S0129X 18666A WY Primary
Vascular Surgery Physician 2086S0129X MD480977 PA
Vascular Surgery Physician 2086S0129X 7061377 ID
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X 0101285795 VA

Addresses

Primary practice location

2301 House Ave Ste 301
Cheyenne, WY 82001-3178

Mailing address

PO Box 20970
Cheyenne, WY 82003-7020
Phone (307) 637-1600

Other practice location 1

400 Town Center Ave Ste 301
Columbiana, OH 44408-8312
Phone (330) 332-1551

Other practice location 2

1075 N Curtis Rd Ste 101
Boise, ID 83706-1348
Phone (208) 302-2800

Other practice location 3

1350 E Market St
Warren, OH 44483-6608
Phone (330) 884-0795

Other practice location 4

740 E State St
Sharon, PA 16146-3328
Phone (724) 983-3911

Other practice location 5

425 W 5th St
East Liverpool, OH 43920-2498
Phone (330) 385-7200

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address akimyaghalam67169@direct.crmcwy.org Direct Memorial Hospital of Laramie County
Direct Messaging Address akimyaghalam67169@direct.crmcwy.org Health Information Exchange (HIE) Memorial Hospital of Laramie County
CONNECT URL phone Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, OH, PA, NE, ID, SD, WY, VA, MI9 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 9

Enrollment IDStateProvider typePAC IDDetails
I20221207000810 NY Practitioner - Psychiatry 4587033998 Reassigns benefits to 1 organization
I20230531003296 OH Practitioner - Vascular Surgery 4587033998 Reassigns benefits to 5 organizations
I20230606003493 PA Practitioner - Vascular Surgery 4587033998 Reassigns benefits to 1 organization
I20231019002840 NE Practitioner - Vascular Surgery 4587033998 Reassigns benefits to 1 organization
I20240823002349 ID Practitioner - Vascular Surgery 4587033998 Reassigns benefits to 1 organization
I20241217003984 SD Practitioner - Vascular Surgery 4587033998 Reassigns benefits to 1 organization
I20250625001086 WY Practitioner - Vascular Surgery 4587033998
I20250813002885 VA Practitioner - Vascular Surgery 4587033998 Reassigns benefits to 1 organization
I20260421001000 MI Practitioner - Vascular Surgery 4587033998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SCH Professional CorporationGroup PAC ID 0941291868, 59 clinicians
Hamid Sattar MD PCGroup PAC ID 9638350358, 10 clinicians
River Valley Physicians LLCGroup PAC ID 3971506932, 56 clinicians

Practice addresses (Care Compare)

1995 E State St
Salem, OH 44460-2423
Phone (330) 332-7672

25130 Southfield Rd
Suite 120
Southfield, MI 48075-1900
Phone (248) 262-7120

425 W 5TH St
East Liverpool, OH 43920-2405
Phone (330) 385-2926

750 E Park Ave
Columbiana, OH 44408-1448
Phone (330) 892-0442

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7061377IDMDVascular Surgery Physician
35.142390OHMDVascular Surgery Physician
MD480977PAMDVascular Surgery Physician
0101285795VAMDVascular Surgery Physician
18666AWYMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Alphonsus Regional Medical Center Inc Single Specialty Current Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Sep 1, 2024 Accepting new patients
Alegent Creighton Clinic Single Specialty CurrentSince Oct 6, 2023 Accepting new patients
New York Community Hospital of Brooklyn Inc Current Accepting new patients
Centra Health Professional Services LLC CurrentSince Jun 30, 2025 Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Sep 1, 2024 Accepting new patients
SCH Professional Corporation Single Specialty CurrentSince Nov 10, 2025 Accepting new patients
New York Community Hospital of Brooklyn Inc Single Specialty CurrentSince Aug 10, 2022 Accepting new patients
Centra Medical Group, LLC Single Specialty CurrentSince Jun 30, 2025 Accepting new patients
Monument Health Rapid City Hospital, Inc. CurrentSince Oct 13, 2024 Accepting new patients
Cheyenne Regional Physicians Group, LLC Single Specialty CurrentSince Jul 10, 2025 Accepting new patients
Monument Health Rapid City Hospital Inc CurrentSince Oct 13, 2024 Accepting new patients
River Valley Physicians, LLC Single Specialty CurrentSince Aug 14, 2025 Accepting new patients
Monument Health Rapid City Hospital, Inc Single Specialty Current Accepting new patients
Steward Medical Group Inc. Single Specialty CurrentSince Jul 1, 2023 Accepting new patients
The Cleveland Clinic Foundation Single Specialty CurrentSince Jul 2, 2025 Accepting new patients
Steward Medical Group, Inc Single Specialty CurrentSince Jul 1, 2023 Accepting new patients
Wilmington Physicians Group LLC Single Specialty CurrentSince Jul 5, 2023 Accepting new patients
Openloop Healthcare Partners PC Single Specialty Past Accepting new patients

Locations (25 of 29)

1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152

1075 N Curtis Rd
Ste 101
Boise, ID 83706
Phone (208) 302-2800

3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400

2771 Solution Ctr
Chicago, IL 60677

9 Galen St
Watertown, MA 02472
Phone (617) 562-5413

3308 Samson Way
Bellevue, NE 68123
Phone (402) 291-3373

2525 Kings Hwy
Brooklyn, NY 11229
Phone (718) 692-5300

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

400 Town Center Ave
Ste 301
Columbiana, OH 44408
Phone (330) 482-3762

750 E Park Ave
Columbiana, OH 44408
Phone (330) 337-3332

425 W 5th St
East Liverpool, OH 43920
Phone (330) 385-7200

425 W 5th St
Fl 6
East Liverpool, OH 43920
Phone (330) 386-2047

15655 State Route 170
Ste B
East Liverpool, OH 43920
Phone (330) 386-3610

15655 State Route 170
Ste H
East Liverpool, OH 43920
Phone (330) 932-0183

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

1353 E Market St
Warren, OH 44483
Phone (330) 399-3222

1350 E Market St
Warren, OH 44483
Phone (330) 841-5969

630 W Main St
Ste 304
Wilmington, OH 45177
Phone (513) 751-4448

630 W Main St
Ste 207
Wilmington, OH 45177
Phone (937) 283-2570

500 Gypsy Ln
Youngstown, OH 44504
Phone (330) 740-4572

2395 Garden Way
Sharon, PA 16148
Phone (724) 342-5890

740 E State St
Sharon, PA 16146
Phone (724) 983-1980

951 Male Rd
Wind Gap, PA 18091
Phone (610) 654-1000

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

140 Vista Centre Dr
Fl 2
Forest, VA 24551
Phone (434) 200-2297

Interoperability endpoints

  • Direct secure messaging: alkimyag@yourcarecommunity.org
  • Direct secure messaging: ali.kimyaghalam@salemregional.medicity.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/FBJFBA
  • FHIR API: https://api.platform.athenahealth.com/6237/brand/1/csg/1/fhir/r4
  • Direct secure messaging: akimyaghalam67169@direct.crmcwy.org

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 3

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": "1463443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1922455146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20970",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820037020",
            "telephone_number": "307-637-1600",
            "fax_number": "307-637-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 HOUSE AVE STE 301",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013178",
            "telephone_number": "307-637-1600",
            "fax_number": "307-637-1699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Town Center Ave Ste 301",
            "address_purpose": "LOCATION",
            "city": "Columbiana",
            "state": "OH",
            "postal_code": "444088312",
            "country_code": "US",
            "telephone_number": "330-332-1551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1075 N Curtis Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837061348",
            "country_code": "US",
            "telephone_number": "208-302-2800",
            "fax_number": "208-302-2825",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1350 E Market St",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "OH",
            "postal_code": "444836608",
            "country_code": "US",
            "telephone_number": "330-884-0795",
            "fax_number": "330-884-0651",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "740 E State St",
            "address_purpose": "LOCATION",
            "city": "Sharon",
            "state": "PA",
            "postal_code": "161463328",
            "country_code": "US",
            "telephone_number": "724-983-3911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "425 W 5th St",
            "address_purpose": "LOCATION",
            "city": "East Liverpool",
            "state": "OH",
            "postal_code": "439202498",
            "country_code": "US",
            "telephone_number": "330-385-7200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIMYAGHALAM",
        "first_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-17",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OH",
            "license": "35.142390",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "311290",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "WY",
            "license": "18666A",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "PA",
            "license": "MD480977",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "ID",
            "license": "7061377",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "VA",
            "license": "0101285795",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akimyaghalam67169@direct.crmcwy.org",
            "affiliation": "Y",
            "endpointDescription": "CRMC Direct Address",
            "affiliationName": "Memorial Hospital of Laramie County",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "214 E 23rd St",
            "city": "Cheyenne",
            "state": "WY",
            "country_code": "US",
            "postal_code": "820013748",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akimyaghalam67169@direct.crmcwy.org",
            "affiliation": "Y",
            "endpointDescription": "CRMC Direct Address",
            "affiliationName": "Memorial Hospital of Laramie County",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "214 E 23rd St",
            "city": "Cheyenne",
            "state": "WY",
            "country_code": "US",
            "postal_code": "820013748",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "phone",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1350 E Market St",
            "city": "Warren",
            "state": "OH",
            "country_code": "US",
            "postal_code": "444836608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

Verify at the official NPI Registry.