Dr Hesham M Elghannam, MD - Medicare Critical Care (intensivists) in West Allis, WI

Dr Hesham M Elghannam, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in West Allis, Wisconsin. He graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Critical Care (intensivists). He is a member of the group practice Aurora Medical Group, Inc. and his current practice location is 2424 S 90th St Ste 300, West Allis, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (414) 328-8150.

Dr Hesham M Elghannam is licensed to practice in Wisconsin (license number 61317) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1023212289.

Contact Information

Dr Hesham M Elghannam, MD
2424 S 90th St Ste 300,
West Allis, WI 53227-2455
(414) 328-8150
Not Available

Map and Direction




Physician's Profile

Full NameDr Hesham M Elghannam
GenderMale
SpecialityCritical Care (intensivists)
Experience28 Years
Location2424 S 90th St Ste 300, West Allis, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Hesham M Elghannam graduated from medical school in 1996
  NPI Data:
  • NPI Number: 1023212289
  • Provider Enumeration Date: 06/12/2007
  • Last Update Date: 06/26/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8426129669
  • Enrollment ID: I20131122000624

Medical Identifiers

Medical identifiers for Dr Hesham M Elghannam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023212289NPI-NPPES
100033017MedicaidWI
0235677OtherWAWA STATE LABOR & INDUSTRIES
8509416MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RP1001XInternal Medicine - Pulmonary Disease 61317 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
West Allis Memorial HospitalWest allis, WIHospital
Aurora Medical Center - SummitSummit, WIHospital
Aurora St Lukes Medical CenterMilwaukee, WIHospital
Aurora Medical Ctr Washington CountyHartford, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Aurora Medical Group, Inc.67097942583269

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 Hesham M Elghannam allows following entities to bill medicare on his behalf.
Entity NameAurora Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725

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 Hesham M Elghannam 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 AddressPractice Location Address
Dr Hesham M Elghannam, MD
2424 S 90th St Ste 300,
West Allis, WI 53227-2455

Ph: (414) 328-8150
Dr Hesham M Elghannam, MD
2424 S 90th St Ste 300,
West Allis, WI 53227-2455

Ph: (414) 328-8150

Reviews and Comments


Internal Medicine Doctors in West Allis, WI

Dr. Ruchit D Shah, M.D.
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Hashim Sadig, M.D.
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Dr. Monica M O'sullivan, MD
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Practice Location: 11211 W Lincoln Ave, West Allis, WI 53227
Phone: 414-454-8300    Fax: 414-327-1450
Neil Reisinger, M.D.
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Practice Location: 904 S 114th St, West Allis, WI 53214
Phone: 414-259-9234    
Dr. Isaac Olabode Taiwo, MD
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Medicare: Medicare Enrolled
Practice Location: 8901 W Lincoln Ave, West Allis, WI 53227
Phone: 414-328-6000    Fax: 414-649-1328
Dr. Susan L Darmstadter, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 8905 W Lincoln Ave, Ste 401, West Allis, WI 53227
Phone: 414-328-8270    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.