DR. HESHAM M ELGHANNAM MD
NPI 1023212289
Internal Medicine - Pulmonary Disease in West Allis, WI

Q: What is Hesham Elghannam's NPI number?

The NPI number for Hesham Elghannam is 1023212289. It was assigned to this individual provider in the NPPES registry on June 12, 2007.

Q: What is Hesham Elghannam's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Hesham Elghannam was last updated on June 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since June 12, 2007PECOS EnrolledAccepts Medicare Assignment

2424 S 90TH ST STE 300, WEST ALLIS, WI 53227(414) 328-8150 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 2, 2021, Dec 6, 2017 (2 updates tracked since 2017).

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About Dr. Hesham M Elghannam Md NPPES

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

DR. HESHAM M ELGHANNAM MD (NPI 1023212289) is an individual pulmonary disease provider in West Allis, Wisconsin, licensed in Wisconsin (61317) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Aurora Medical Ctr Washington County, and maintains a secondary practice location in West Allis.

NPPES Registry Identity

NPI1023212289

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. HESHAM M ELGHANNAMCredential: MD

Location Address2424 S 90TH ST STE 300West Allis, WI 53227-2455

Mailing Address2424 S 90th St Ste 300West Allis, WI 53227-2455 · (414) 328-8150

Phone(414) 328-8150

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateJune 12, 2007

Last NPPES UpdateJune 26, 20232 updates tracked since enumeration

NPPES CertifiedJune 26, 2023

✔ NPI 1023212289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in WI · 61317

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

2424 S 90TH ST STE 300, West Allis, WI 53227

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Secondary Practice Location 1

Location 18905 W Lincoln Ave Ste 401West Allis, WI 53227-2469 · Phone (414) 328-8270 · Fax (509) 755-6580

Other Identifiers 3

Medicaid100033017WI

Other0235677WA · Wa State Labor & Industries

Medicaid8509416WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and more.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

Dr. Hesham M Elghannam 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 ID8426129669

PECOS Enrollment IDI20131122000624

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.

Areas of Expertise CMS Part B claims 15

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

313 services119 patients

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.

262 services196 patients

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

Albuterol is a medication used to treat breathing problems. It is administered as an inhalation solution through a device called DME (Durable Medical Equipment). The solution is FDA-approved and non-compounded. Each unit dose contains 1 mg of the medicine.

94 services32 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

66 services62 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

47 services47 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

41 services41 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

40 services40 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

36 services36 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

35 services23 patients

Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation G0399

A Home Sleep Test (HST) with a Type III Portable Monitor is an unattended test that records your breathing, heart rate, and oxygen levels during sleep. This test uses a minimum of 4 channels to monitor these parameters, helping to diagnose sleep disorders.

32 services31 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

21 services21 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

20 services14 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

16 services16 patients

Test to examine how well the lungs exchange gases 94729

12 services12 patients

Test to determine lung volumes using sensors 94726

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Aurora Medical Ctr Washington County

Acute Care Hospitals · Hartford, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520038

Location1032 E Sumner StHartford, WI 53027 · Washington County

Emergency services

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

West Allis Memorial Hospital

Acute Care Hospitals · West Allis, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520139

Location8901 W Lincoln AveWest Allis, WI 53227 · Milwaukee County

Emergency services Birthing friendly

Aurora Medical Center - Summit

Acute Care Hospitals · Summit, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520206

Location36500 Aurora DriveSummit, WI 53066 · Waukesha County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53227 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 30

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

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

16 suppliers189 claims189 services$33.96 avg. paid by Medicare

Tracheostomy, inner cannula A4623

DME-Orthotic Devices · category DF000N

1 supplier11 claims682 services$6.21 avg. paid by Medicare

Tracheal suction catheter, any type other than closed system, each A4624

DME-Other DME · category DE000N

1 supplier12 claims1,080 services$2.17 avg. paid by Medicare

Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6402

DME-Medical/Surgical Supplies · category DA023N

1 supplier12 claims950 services$0.11 avg. paid by Medicare

Large volume nebulizer, disposable, unfilled, used with aerosol compressor A7007

DME-Other DME · category DE000N

1 supplier12 claims24 services$2.18 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

15 suppliers142 claims142 services$80.71 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

15 suppliers145 claims390 services$30.74 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

9 suppliers79 claims424 services$16.14 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

8 suppliers43 claims248 services$11.15 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

12 suppliers121 claims121 services$46.80 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

17 suppliers160 claims160 services$16.32 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

10 suppliers66 claims66 services$11.20 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

17 suppliers252 claims1,429 services$1.72 avg. paid by Medicare

Filter, non disposable, used with positive airway pressure device A7039

DME-Other DME · category DE001N

5 suppliers15 claims15 services$5.69 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

17 suppliers114 claims114 services$11.21 avg. paid by Medicare

Tracheostomy mask, each A7525

DME-Orthotic Devices · category DF000N

1 supplier11 claims11 services$1.99 avg. paid by Medicare

Tracheostomy tube collar/holder, each A7526

DME-Orthotic Devices · category DF000N

1 supplier12 claims372 services$3.00 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

3 suppliers44 claims44 services$15.94 avg. paid by Medicare

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443

DME-Oxygen and Supplies · category DC000N

2 suppliers12 claims12 services$37.37 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

2 suppliers24 claims24 services$783.37 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

2 suppliers18 claims18 services$71.75 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

6 suppliers22 claims22 services$118.99 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

3 suppliers74 claims77 services$10.99 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers40 claims40 services$4.16 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

11 suppliers244 claims247 services$28.77 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

5 suppliers141 claims141 services$64.58 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

4 suppliers41 claims41 services$29.05 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

3 suppliers13 claims2,799 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

11 suppliers22 claims3,120 services$0.09 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

11 suppliers38 claims38 services$25.34 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 9

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

CHOUA XIONG ZAZZI APNP, AGNP-C

Nurse Practitioner

2424 S 90TH ST STE 300
WEST ALLIS, WI 53227

Milwaukee County (414) 328-8750

BRITTANY WARD APNP

Nurse Practitioner

2424 S 90TH ST STE 300
WEST ALLIS, WI 53227

Milwaukee County (414) 389-2338

HOLLY DERENNE DNP

Nurse Practitioner

2424 S 90TH ST STE 300
WEST ALLIS, WI 53227

Milwaukee County (414) 328-8270

DR. RICHARD J GRIESHOP M.D.

Surgery (Vascular Surgery)

2424 S 90TH ST STE 300
WEST ALLIS, WI 53227

Milwaukee County (414) 328-8150

MIA L MANABAT D.O.

Internal Medicine (Gastroenterology)

2424 S 90TH ST STE 300
WEST ALLIS, WI 53227

Milwaukee County (414) 328-8750

DR. JOHN F KISPERT M.D.

Surgery (Vascular Surgery)

2424 S 90TH ST STE 300
WEST ALLIS, WI 53227

Milwaukee County (414) 328-8150

MCKINLI LYNN SCHACHERL PA-C

Physician Assistant

2424 S 90TH ST STE 300
WEST ALLIS, WI 53227

Milwaukee County (414) 328-8750

MELISSA MARIE O'HANISON NP

Nurse Practitioner (Family)

2424 S 90TH ST STE 300
WEST ALLIS, WI 53227

Milwaukee County (414) 328-8750

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 Hesham Elghannam's NPI number?

The NPI number for Hesham Elghannam is 1023212289. It was assigned to this individual provider in the NPPES registry on June 12, 2007.

Where is Hesham Elghannam located?

Hesham Elghannam practices at 2424 S 90th St Ste 300, West Allis, WI 53227. The listed phone number is (414) 328-8150.

What is Hesham Elghannam's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Hesham Elghannam enrolled in Medicare?

Yes. Hesham Elghannam 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.

What insurance does Hesham Elghannam accept?

Health plans from Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners, Quartz and UnitedHealthcare list Hesham Elghannam 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 Hesham Elghannam affiliated with any hospitals?

According to CMS data, Hesham Elghannam is affiliated with Aurora Medical Ctr Washington County, Aurora St Lukes Medical Center, West Allis Memorial Hospital and Aurora Medical Center - Summit.

When was this NPI record last updated?

The NPPES record for Hesham Elghannam was last updated on June 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.