DR. ALI KIMYAGHALAM M.D. NPI 1922455146

NPI Information

NPI: 1922455146
Provider Name: DR. ALI KIMYAGHALAM, M.D.
Classification: Surgery - 2086S0129X
Specialization: Vascular Surgery
Entity Type: Individual
PECOS Registration: Yes
Address: 2301 HOUSE AVE STE 301
CHEYENNE, WY
ZIP 82001
Phone: (307) 637-1600

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NPI Details

DR. Ali Kimyaghalam, M.D. is a vascular surgery surgery in Cheyenne, WY with 10 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. DR. Ali Kimyaghalam, M.D. NPI is 1922455146. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2301 HOUSE AVE STE 301
CHEYENNE, WY
ZIP 82001-178
Phone: (307) 637-1600
Fax: (307) 637-1699

The NPI 1922455146 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Upper gastrointestinal (GI) endoscopy for acid reflux (HCPCS:NAN12)
Varicose vein removal (HCPCS:NAN08)
Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 5/17/2016 and was last updated on 9/10/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0129X	Surgery	Vascular Surgery	35.142390	OHIO	No
2	208600000X	Surgery		311290	NEW YORK	No
3	2086S0129X	Surgery	Vascular Surgery	18666A	WYOMING	Yes
4	2086S0129X	Surgery	Vascular Surgery	MD480977	PENNSYLVANIA	No
5	2086S0129X	Surgery	Vascular Surgery	7061377	IDAHO	No
6	2086S0129X	Surgery	Vascular Surgery	0101285795	VIRGINIA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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