Dr Ali Kimyaghalam, MD in Cheyenne, WY

Dr Ali Kimyaghalam, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Cheyenne, Wyoming. His current practice location is 2301 House Ave Ste 301, Cheyenne, Wyoming. You can reach out to his office (for appointments etc.) via phone at (307) 637-1600.

Dr Ali Kimyaghalam is licensed to practice in Wyoming (license number 18666A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1922455146.

Contact Information

	Dr Ali Kimyaghalam, MD
	2301 House Ave Ste 301, Cheyenne, WY 82001-3178
	(307) 637-1600
	(307) 637-1699

Map and Direction

Physician's Profile

Full Name	Dr Ali Kimyaghalam
Gender	Male
Speciality	Surgery - Vascular Surgery
Location	2301 House Ave Ste 301, Cheyenne, Wyoming
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922455146
Provider Enumeration Date: 05/17/2016
Last Update Date: 09/10/2025

Medicare PECOS Information:

PECOS PAC ID: 4587033998
Enrollment ID: I20221207000810

Medical Identifiers

Medical identifiers for Dr Ali Kimyaghalam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922455146	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0129X	Surgery - Vascular Surgery	35.142390 (Ohio)	Secondary
208600000X	Surgery	311290 (New York)	Secondary
2086S0129X	Surgery - Vascular Surgery	18666A (Wyoming)	Primary
2086S0129X	Surgery - Vascular Surgery	MD480977 (Pennsylvania)	Secondary
2086S0129X	Surgery - Vascular Surgery	7061377 (Idaho)	Secondary
2086S0129X	Surgery - Vascular Surgery	0101285795 (Virginia)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Ali Kimyaghalam allows following entities to bill medicare on his behalf.

Entity Name	New York Community Hospital Of Brooklyn Inc
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1508377334 PECOS PAC ID: 6901798016 Enrollment ID: O20180417000319

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ali Kimyaghalam is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Ali Kimyaghalam, MD Po Box 20970, Cheyenne, WY 82003-7020 Ph: (307) 637-1600	Dr Ali Kimyaghalam, MD 2301 House Ave Ste 301, Cheyenne, WY 82001-3178 Ph: (307) 637-1600

Reviews and Comments

Surgery Doctors in Cheyenne, WY

Dr. George Oliver Tutt Jr., M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2360 E Pershing Blvd, Cheyenne, WY 82001 Phone: 307-778-7550 Fax: 307-778-7551
Dr. Thomas Orval Kraner, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 6206 Kevin Ave, Cheyenne, WY 82009 Phone: 208-989-9993
Lisa K Burton, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5201 Yellowstone Rd, Cheyenne, WY 82009 Phone: 307-632-1114 Fax: 307-632-9920
Dr. Lawrence William O Holleran, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4003 Rawlins St Ste B, Cheyenne, WY 82001 Phone: 307-637-5600 Fax: 307-637-0249
Dr. Mark B Douthit, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2301 House Ave Ste 301b, Cheyenne, WY 82001 Phone: 307-778-1849 Fax: 307-778-4995
David Bryan Sprunger, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 2360 E Pershing Blvd, Cheyenne, WY 82001 Phone: 307-433-3767
Dr. Daniel James Travers, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2360 E Pershing Blvd, Va Medical Center, Cheyenne, WY 82001 Phone: 307-778-7550

Dr Ali Kimyaghalam, MD - Medicare Surgery in Cheyenne, WY