HENOK DESTA HARDILO MD
NPI 1104454750
Internal Medicine in Menomonee Falls, WI
About Henok Desta Hardilo Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HENOK DESTA HARDILO MD (NPI 1104454750) is an individual internal medicine provider in Menomonee Falls, Wisconsin, licensed in Wisconsin (76461) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with St Josephs Community Hospital West Bend, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Henok Desta Hardilo 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.
Medicare Billing Reassignments
3Medicare enrollment records show Henok Hardilo reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Menomonee Falls, WI 53051
- Reassigned Medicare billing, Wisconsin enrollment
- 2,294 clinicians in this Medicare group
Manitowoc, WI 54220
- Reassigned Medicare billing, Wisconsin enrollment
- 350 clinicians in this Medicare group
Jefferson, NC 28640
- Reassigned Medicare billing, North Carolina enrollment
- 1,646 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 6
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Josephs Community Hospital West Bend
Acute Care Hospitals · West Bend, WICommunity Memorial Hospital
Acute Care Hospitals · Menomonee Falls, WIFroedtert Memorial Lutheran Hospital
Acute Care Hospitals · Milwaukee, WIFroedtert Community Hospital
Acute Care Hospitals · New Berlin, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53051 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MENOMONEE FALLS, WI 53051
MENOMONEE FALLS, WI 53051
MENOMONEE FALLS, WI 53051
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 Henok Hardilo's NPI number?
The NPI number for Henok Hardilo is 1104454750. It was assigned to this individual provider in the NPPES registry on March 30, 2020.
Where is Henok Hardilo located?
Henok Hardilo practices at W180n8085 Town Hall Rd, Menomonee Falls, WI 53051. The listed phone number is (262) 257-2447.
What is Henok Hardilo's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Henok Hardilo enrolled in Medicare?
Yes. Henok Hardilo 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.
Which organizations bill Medicare for Henok Hardilo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Henok Hardilo reassigns Medicare benefits to 3 organizations: Froedtert & the Medical College Of Wisconsin Community Physicians, Inc. (Menomonee Falls, WI), Froedtert Manitowoc Medical Group, LLC (Manitowoc, WI) and Carolinas Physicians Network Inc (Jefferson, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Henok Hardilo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Henok Hardilo affiliated with any hospitals?
According to CMS data, Henok Hardilo is affiliated with St Josephs Community Hospital West Bend, Community Memorial Hospital, Froedtert Memorial Lutheran Hospital and Froedtert Community Hospital.
When was this NPI record last updated?
The NPPES record for Henok Hardilo was last updated on August 14, 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.
# Henok Desta Hardilo, MD · NPI 1104454750
Internal Medicine physician in Menomonee Falls, Wisconsin. Individual provider, active in the CMS NPPES registry since March 30, 2020.
## Identity
- **NPI:** 1104454750 (Entity type: Individual)
- **Enumerated:** March 30, 2020
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 76461 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** W180N8085 TOWN HALL RD, Menomonee Falls, WI 53051-3518
- **Phone:** (262) 257-2447
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Froedtert & the Medical College Of Wisconsin Community Physicians, Inc. (NPI 1568787448, Menomonee Falls, WI); Froedtert Manitowoc Medical Group, LLC (NPI 1437829975, Manitowoc, WI); Carolinas Physicians Network Inc (NPI 1871817403, Jefferson, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** August 14, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1104454750) · Data from the CMS NPPES public registry.