AKM ABUHIYA MD
NPI 1164043097
Pediatrics in Fort Atkinson, WI

Q: What is Akm Abuhiya's NPI number?

The NPI number for Akm Abuhiya is 1164043097. It was assigned to this individual provider in the NPPES registry on May 1, 2020.

Q: What is Akm Abuhiya's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Akm Abuhiya was last updated on July 5, 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 May 01, 2020PECOS Enrolled

500 MCMILLEN ST, FORT ATKINSON, WI 53538(920) 563-5571 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 5, 2023, May 28, 2020 (2 updates tracked since 2020).

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About Akm Abuhiya Md NPPES

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

AKM ABUHIYA MD (NPI 1164043097) is an individual pediatrics provider in Fort Atkinson, Wisconsin, licensed in Wisconsin (82334-20) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1164043097

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameAKM ABUHIYACredential: MD

Location Address500 MCMILLEN STFort Atkinson, WI 53538-1233

Mailing Address500 Mcmillen StFort Atkinson, WI 53538-1233 · (920) 563-5571

Phone(920) 563-5571

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateMay 1, 2020

Last NPPES UpdateJuly 5, 20232 updates tracked since enumeration

NPPES CertifiedJuly 5, 2023

✔ NPI 1164043097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in WI · 82334-20

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

500 MCMILLEN ST, Fort Atkinson, WI 53538

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW, MercyCare Health Plans 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 (PECOS)

Akm Abuhiya Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8123482148

PECOS Enrollment IDI20260227001959

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53538 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

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.

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.

CRAIG SWEENEY LPC-IT

Counselor (Professional)