DR. ABDULGHANI MOUNIR MD
NPI 1154900603
Internal Medicine in St Francis, WI
About Dr. Abdulghani Mounir Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ABDULGHANI MOUNIR MD (NPI 1154900603) is an individual internal medicine provider in St Francis, Wisconsin, licensed in Wisconsin (81601) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Milwaukee, and is a graduate of Medical College Of Wisconsin (2021).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
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
Dr. Abdulghani Mounir 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 Abdulghani Mounir reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Francis, WI 53235
- Reassigned Medicare billing, Wisconsin enrollment
- 960 clinicians in this Medicare group
Milwaukee, WI 53215
- Reassigned Medicare billing, Wisconsin enrollment
- 4,609 clinicians in this Medicare group
Milwaukee, WI 53209
- Reassigned Medicare billing, Wisconsin enrollment
- 1,615 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53235 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.
ST FRANCIS, WI 53235
SAINT FRANCIS, WI 53235
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 Abdulghani Mounir's NPI number?
The NPI number for Abdulghani Mounir is 1154900603. It was assigned to this individual provider in the NPPES registry on April 2, 2021.
Where is Abdulghani Mounir located?
Abdulghani Mounir practices at 2000 E Layton Ave, St Francis, WI 53235. The listed phone number is (414) 744-7880.
What is Abdulghani Mounir's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Abdulghani Mounir enrolled in Medicare?
Yes. Abdulghani Mounir 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 Abdulghani Mounir's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Abdulghani Mounir reassigns Medicare benefits to 3 organizations: Lakeshore Medical Clinic, LLC (Saint Francis, WI), Aurora Medical Group, Inc. (Milwaukee, WI) and Aurora Advanced Healthcare, Inc. (Milwaukee, WI). 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 Abdulghani Mounir's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Abdulghani Mounir accept?
Health plans from CareSource (Common Ground Healthcare) and UnitedHealthcare list Abdulghani Mounir 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.
When was this NPI record last updated?
The NPPES record for Abdulghani Mounir was last updated on September 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Abdulghani Mounir, MD · NPI 1154900603
Internal Medicine physician in St Francis, Wisconsin. Individual provider, active in the CMS NPPES registry since April 2, 2021.
## Identity
- **NPI:** 1154900603 (Entity type: Individual)
- **Enumerated:** April 2, 2021
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 81601 (Wisconsin)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2000 E LAYTON AVE, St Francis, WI 53235-6053
- **Phone:** (414) 744-7880
## 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): Lakeshore Medical Clinic, LLC (NPI 1003861188, Saint Francis, WI); Aurora Medical Group, Inc. (NPI 1427271378, Milwaukee, WI); Aurora Advanced Healthcare, Inc. (NPI 1265629133, Milwaukee, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Medical College Of Wisconsin, class of 2021
## Record status
- **NPPES last updated:** September 26, 2024
- **Other identifiers:** Medicaid 1000246932 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1154900603) · Data from the CMS NPPES public registry.