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KARIM BAKHTIAR MD
NPI 1720096928
Internal Medicine in Milwaukee, WI

Active since August 03, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 52D0966518 · Waiver
1400 W OKLAHOMA AVE, MILWAUKEE, WI 53215(414) 384-2688(414) 384-2296 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Karim Bakhtiar Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KARIM BAKHTIAR MD (NPI 1720096928) is an individual internal medicine provider in Milwaukee, Wisconsin, licensed in Wisconsin (29784020) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through August 4, 2027, and is affiliated with Ascension St Francis Hospital.

NPPES Registry Identity

NPI1720096928
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameKARIM BAKHTIARCredential: MD
Location Address1400 W OKLAHOMA AVEMilwaukee, WI 53215-4624
Mailing Address1400 W Oklahoma AveMilwaukee, WI 53215-4624 · (414) 384-2688 · Fax (414) 384-2296
Phone(414) 384-2688
Fax(414) 384-2296
Sole ProprietorYes
Medical School CMSOtherGraduated 1985
Enumeration DateAugust 3, 2006
Last NPPES UpdateApril 30, 2025
NPPES CertifiedApril 30, 2025
✔ NPI 1720096928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in WI · 29784020✔ Licensed in WI · 29784-020
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1400 W OKLAHOMA AVE, Milwaukee, WI 53215
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Other Identifiers 1

Medicaid31692200WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Karim Bakhtiar Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517871890
PECOS Enrollment IDI20110217000443
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D0966518

Karim Bakhtiar, Mdsc · Milwaukee, WI
Active · expires Aug 4, 2027
CLIA Number52D0966518
Laboratory TypePhysician Office
Certificate Effective DateAugust 5, 2025
Certificate Expiration DateAugust 4, 2027
Laboratory DirectorKarim Bakhtiar, MD
Laboratory Phone(414) 384-2688
Laboratory LocationKarim Bakhtiar, Mdsc1400 W Oklahoma Ave, Milwaukee, WI 53215
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
658 services119 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
97 services97 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
57 services57 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
40 services30 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
40 services35 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
30 services15 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension St Francis Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520078
Location3237 S 16th StMilwaukee, WI 53215 · Milwaukee County
Emergency services

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520136
Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County
Emergency services Birthing friendly

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520138
Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53215 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
16 suppliers41 claims114 services$6.05 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
3 suppliers13 claims13 services$2.91 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
12 suppliers37 claims52 services$1.10 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier14 claims5,901 services$0.26 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers25 claims25 services$39.65 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers14 claims14 services$15.24 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KARIM BAKHTIAR MD SC
Internal Medicine
1400 W OKLAHOMA AVE
MILWAUKEE, WI 53215
Milwaukee County (414) 384-2688

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Karim Bakhtiar's NPI number?

The NPI number for Karim Bakhtiar is 1720096928. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Where is Karim Bakhtiar located?

Karim Bakhtiar practices at 1400 W Oklahoma Ave, Milwaukee, WI 53215. The listed phone number is (414) 384-2688.

What is Karim Bakhtiar's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Karim Bakhtiar enrolled in Medicare?

Yes. Karim Bakhtiar is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Does Karim Bakhtiar hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D0966518) is associated with this NPI, valid through August 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Karim Bakhtiar accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Karim Bakhtiar as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Karim Bakhtiar affiliated with any hospitals?

According to CMS data, Karim Bakhtiar is affiliated with Ascension St Francis Hospital, Ascension SE Wisconsin Hospital and Aurora St Lukes Medical Center.

When was this NPI record last updated?

The NPPES record for Karim Bakhtiar was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.