DR. FAROOQ GHOURI D.O
NPI 1245644830
Internal Medicine in Milwaukee, WI

Active since June 11, 2014PECOS EnrolledAccepts Medicare Assignment
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215(414) 649-6000(414) 649-5296 Get Directions Write a Review

NPPES record last updated: February 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 11, 2025, Jul 23, 2024, Jul 21, 2022 and 1 more (4 updates tracked since 2017).

About Dr. Farooq Ghouri D.o NPPES

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

DR. FAROOQ GHOURI D.O (NPI 1245644830) is an individual internal medicine provider in Milwaukee, Wisconsin, licensed in Illinois (036158685) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Katherine Shaw Bethea Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1245644830
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. FAROOQ GHOURICredential: D.O
Location Address2900 W OKLAHOMA AVEMilwaukee, WI 53215-4330
Mailing AddressPo Box 735044Chicago, IL 60673-5044
Fax(414) 649-5296
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2014
Enumeration DateJune 11, 2014
Last NPPES UpdateFebruary 11, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2025
NPI 1245644830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in IL · 036158685 Licensed in WI · 67637
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2900 W OKLAHOMA AVE, Milwaukee, WI 53215

Secondary Practice Locations 2

Location 13801 Spring StMount Pleasant, WI 53405-1667 · Phone (262) 687-4011
Location 2403 E 1st StDixon, IL 61021-3116 · Phone (815) 285-5629 · Fax (815) 285-5634

Other Identifiers 1

Medicaid100068671WI

Accepted 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. Farooq Ghouri D.o 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 ID1052694395
PECOS Enrollment IDI20170807001962, I20220902002219
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 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.

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.
829 services304 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.
158 services157 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
155 services149 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
77 services77 patients
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.
62 services35 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
19 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Katherine Shaw Bethea Hospital

Acute Care Hospitals · Dixon, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140012
Location403 E 1st StDixon, IL 61021 · Lee County
Emergency services Birthing friendly

Carle Foundation Hospital

Acute Care Hospitals · Urbana, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140091
Location611 West Park StreetUrbana, IL 61801 · Champaign County
Emergency services Birthing friendly

Froedtert South Inc.

Acute Care Hospitals · Pleasant Prairie, WI
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number520021
Location9555 76th StPleasant Prairie, WI 53158 · Kenosha 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

Aurora Medical Center Kenosha

Acute Care Hospitals · Kenosha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520189
Location10400 75th StKenosha, WI 53142 · Kenosha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53215 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 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
6 suppliers28 claims28 services$17.12 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers11 claims11 services$5.74 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
7 suppliers40 claims40 services$88.07 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 20

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

Clinic/Center (Primary Care)
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
Anesthesiology
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
Nurse Practitioner
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
Physician Assistant
2900 W OKLAHOMA AVE, 5TH FLOOR GALLERIA
MILWAUKEE, WI 53215
Nurse Practitioner
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
Physical Therapist
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
Pharmacist
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
Physical Therapist
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215

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 Farooq Ghouri's NPI number?

The NPI number for Farooq Ghouri is 1245644830. It was assigned to this individual provider in the NPPES registry on June 11, 2014.

Where is Farooq Ghouri located?

Farooq Ghouri practices at 2900 W Oklahoma Ave, Milwaukee, WI 53215. The listed phone number is (414) 649-6000.

What is Farooq Ghouri's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Farooq Ghouri enrolled in Medicare?

Yes. Farooq Ghouri 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 Farooq Ghouri accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource (Common Ground Healthcare) list Farooq Ghouri 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 Farooq Ghouri affiliated with any hospitals?

According to CMS data, Farooq Ghouri is affiliated with Katherine Shaw Bethea Hospital, Carle Foundation Hospital, Froedtert South Inc., Aurora St Lukes Medical Center and Aurora Medical Center Kenosha.

When was this NPI record last updated?

The NPPES record for Farooq Ghouri was last updated on February 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.