Active NPI
Ali Kimyaghalam, M.D.
- Vascular Surgery Physician
- Cheyenne, WY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 18666A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Physician | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 9
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
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
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7061377 | ID | MD | Vascular Surgery Physician |
| 35.142390 | OH | MD | Vascular Surgery Physician |
| MD480977 | PA | MD | Vascular Surgery Physician |
| 0101285795 | VA | MD | Vascular Surgery Physician |
| 18666A | WY | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Alphonsus Regional Medical Center Inc | Single Specialty | Current | Accepting new patients |
| Saint Alphonsus Regional Medical Center Inc | Current | Accepting new patients | |
| Alegent Creighton Clinic | Single Specialty | Current | Accepting new patients |
| New York Community Hospital of Brooklyn Inc | Current | Accepting new patients | |
| Centra Health Professional Services LLC | Current | Accepting new patients | |
| Saint Alphonsus Regional Medical Center Inc | Current | Accepting new patients | |
| SCH Professional Corporation | Single Specialty | Current | Accepting new patients |
| New York Community Hospital of Brooklyn Inc | Single Specialty | Current | Accepting new patients |
| Centra Medical Group, LLC | Single Specialty | Current | Accepting new patients |
| Monument Health Rapid City Hospital, Inc. | Current | Accepting new patients | |
| Cheyenne Regional Physicians Group, LLC | Single Specialty | Current | Accepting new patients |
| Monument Health Rapid City Hospital Inc | Current | Accepting new patients | |
| River Valley Physicians, LLC | Single Specialty | Current | Accepting new patients |
| Monument Health Rapid City Hospital, Inc | Single Specialty | Current | Accepting new patients |
| Steward Medical Group Inc. | Single Specialty | Current | Accepting new patients |
| The Cleveland Clinic Foundation | Single Specialty | Current | Accepting new patients |
| Steward Medical Group, Inc | Single Specialty | Current | Accepting new patients |
| Wilmington Physicians Group LLC | Single Specialty | Current | 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
- alkimyag@yourcarecommunity.org
- ali.kimyaghalam@salemregional.medicity.net
- https://fhir4.healow.com/fhir/r4/FBJFBA
- https://api.platform.athenahealth.com/6237/brand/1/csg/1/fhir/r4
- 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.
-
- Multi-Specialty Clinic/Center
- East Liverpool, OH
- NPI 1891756870
Single Specialty
-
dba ARK Medical Group
- Cardiovascular Disease Physician
- Southfield, MI
- NPI 1194020610
-
dba CHI Health Clinic
- Family Medicine Physician
- Omaha, NE
- NPI 1548287907
Single Specialty
-
dba Monument Health Behavioral Health Center
- Multi-Specialty Clinic/Center
- Rapid City, SD
- NPI 1275553463
Single Specialty
-
dba New York Community Hospital
- Psychiatric Hospital Unit
- Brooklyn, NY
- NPI 1508377334
-
- Internal Medicine Physician
- Brookfield, OH
- NPI 1902347438
PA, Single Specialty
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
Single Specialty
-
- Family Medicine Physician
- Wilmington, OH
- NPI 1932401411
Single Specialty
-
dba Cheyenne Regional Medical Group, LLC
- Medical Oncology Physician
- Cheyenne, WY
- NPI 1659458008
Single Specialty
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Cheyenne Regional Medical Center
- General Acute Care Hospital
- Cheyenne, WY
- NPI 1285621839
-
dba Salem Regional Medical Center
- General Acute Care Hospital
- Salem, OH
- NPI 1639131535
-
dba SRMC Ancillary Services
- Radiology Clinic/Center
- Calcutta, OH
- NPI 1750227377
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; 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.