DR. YIHENEW ALEM NEGATU MD
NPI 1407167323
Internal Medicine - Pulmonary Disease in Oshkosh, WI
About Dr. Yihenew Alem Negatu Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. YIHENEW ALEM NEGATU MD (NPI 1407167323) is an individual pulmonary disease provider in Oshkosh, Wisconsin, licensed in Wisconsin (61374) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
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. Yihenew Alem Negatu 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
7Medicare enrollment records show Yihenew Negatu reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Menasha, WI 54952
- Reassigned Medicare billing, Wisconsin enrollment
- 988 clinicians in this Medicare group
Berlin, WI 54923
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1760413777 (Wisconsin)
- 104 clinicians in this Medicare group
Fond Du Lac, WI 54935
- Reassigned Medicare billing, Wisconsin enrollment
- 606 clinicians in this Medicare group
Green Bay, WI 54311
- Reassigned Medicare billing, Wisconsin enrollment
- 394 clinicians in this Medicare group
Sheboygan, WI 53081
- Reassigned Medicare billing, Wisconsin enrollment
- 4,609 clinicians in this Medicare group
Mount Pleasant, WI 53405
- Reassigned Medicare billing, Wisconsin enrollment
- 72 clinicians in this Medicare group
Safford, AZ 85546
- Reassigned Medicare billing, Arizona enrollment
- 149 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 5
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 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ascension Columbia St Mary's Hospital Milwaukee
Acute Care Hospitals · Milwaukee, WIThedacare Regional Medical Center - Appleton Inc
Acute Care Hospitals · Appleton, WIAurora Medical Ctr Oshkosh
Acute Care Hospitals · Oshkosh, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54904 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 5
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
OSHKOSH, WI 54904
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 Yihenew Negatu's NPI number?
The NPI number for Yihenew Negatu is 1407167323. It was assigned to this individual provider in the NPPES registry on June 24, 2010.
Where is Yihenew Negatu located?
Yihenew Negatu practices at 855 N Westhaven Dr, Oshkosh, WI 54904. The listed phone number is (920) 303-8700.
What is Yihenew Negatu's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.
Is Yihenew Negatu enrolled in Medicare?
Yes. Yihenew Negatu 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 Yihenew Negatu's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Yihenew Negatu reassigns Medicare benefits to 7 organizations: Thedacare, Incorporated (Menasha, WI), Thedacare Medical Center - Berlin, Inc. (Berlin, WI), Agnesian Healthcare Inc (Fond Du Lac, WI), Baycare Aurora, LLC (Green Bay, WI), Aurora Medical Group, Inc. (Sheboygan, WI) and 2 more organizations, listed in the Medicare section above. 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 Yihenew Negatu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Yihenew Negatu accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Kansas, Inc., CareSource (Common Ground Healthcare) and Network Health and 1 other insurer list Yihenew Negatu 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 Yihenew Negatu affiliated with any hospitals?
According to CMS data, Yihenew Negatu is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, Thedacare Regional Medical Center - Appleton Inc and Aurora Medical Ctr Oshkosh.
When was this NPI record last updated?
The NPPES record for Yihenew Negatu was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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. Yihenew Alem Negatu, MD · NPI 1407167323
Pulmonary Disease physician in Oshkosh, Wisconsin. Individual provider, active in the CMS NPPES registry since June 24, 2010.
## Identity
- **NPI:** 1407167323 (Entity type: Individual)
- **Enumerated:** June 24, 2010
- **Primary specialty:** Internal Medicine - Pulmonary Disease · taxonomy 207RP1001X
- **State license:** 61374 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 855 N WESTHAVEN DR, Oshkosh, WI 54904-7668
- **Phone:** (920) 303-8700
## 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:** 7 organizations under Medicare reassignment (form CMS-855R): Thedacare, Incorporated (NPI 1306959515, Menasha, WI); Thedacare Medical Center - Berlin, Inc. (NPI 1275943367, Berlin, WI); Agnesian Healthcare Inc (NPI 1730162991, Fond Du Lac, WI); Baycare Aurora, LLC (NPI 1255387726, Green Bay, WI); Aurora Medical Group, Inc. (NPI 1174670244, Sheboygan, WI); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** July 22, 2026
- **Other identifiers:** Medicaid 100077427 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1407167323) · Data from the CMS NPPES public registry.