Organization Active NPI

Karim Bakhtiar MD SC

  • Internal Medicine Physician
  • Milwaukee, WI
National Provider Identifier
1982718979
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
KARIM BAKHTIAR MD SC
Practice address
1400 W Oklahoma Ave
Milwaukee, WI 53215-4624
Phone
(414) 384-2688
Fax
(414) 384-2296
NPI assigned
Aug 18, 2006
Last updated
Apr 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Authorized official

Name
Dr. Karim Bakhtiar, MDNPI 1720096928
Title
President Owner
Phone
(414) 384-2688

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

1400 W Oklahoma Ave
Milwaukee, WI 53215-4624

Mailing address

1400 W Oklahoma Ave
Milwaukee, WI 53215-4624
Phone (414) 384-2688

Other identifiers 1

IdentifierTypeStateIssuer
21250300MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031119000623 WI Part B Supplier - Clinic/Group Practice 5193639466 Receives reassigned benefits from 1 practitioner
Practice locations: Milwaukee, WI; South Milwaukee, WI; Waukesha, WI; West Allis, WI; Bayside, WI; Brookfield, WI; Germantown, WI; Glendale, WI…

National Provider Directory

National Provider Directory

Locations

1300 W Silver Spring Dr
Glendale, WI 53209
Phone (414) 228-8120

1400 W Oklahoma Ave
Milwaukee, WI 53215
Phone (414) 384-2688

2315 N Lake Dr
#40
Milwaukee, WI 53211
Phone (414) 384-2688

3800 N 92nd St
Milwaukee, WI 53222
Phone (414) 463-7570

6800 N 76th St
Milwaukee, WI 53223
Phone (414) 353-5000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19178/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1982718979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 W OKLAHOMA AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532154624",
            "telephone_number": "414-384-2688",
            "fax_number": "414-384-2296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W OKLAHOMA AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532154624",
            "telephone_number": "414-384-2688",
            "fax_number": "414-384-2296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARIM BAKHTIAR MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "BAKHTIAR",
        "authorized_official_first_name": "KARIM",
        "authorized_official_title_or_position": "PRESIDENT  OWNER",
        "authorized_official_telephone_number": "414-384-2688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21250300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.