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DR. AHMED ELSAYED ALI HANAFY MD
NPI 1629537741
Pediatrics in Rice Lake, WI

Active since March 18, 2019PECOS Enrolled
1700 W STOUT ST, RICE LAKE, WI 54868(715) 236-8385 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Ahmed Elsayed Ali Hanafy Md NPPES

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

DR. AHMED ELSAYED ALI HANAFY MD (NPI 1629537741) is an individual pediatrics provider in Rice Lake, Wisconsin, licensed in Wisconsin (76548) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Bronx.

NPPES Registry Identity

NPI1629537741
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. AHMED ELSAYED ALI HANAFYCredential: MD
Location Address1700 W STOUT STRice Lake, WI 54868-5000
Mailing Address1000 N Oak AveMarshfield, WI 54449-5703 · (715) 387-5511
Phone(715) 236-8385
Sole ProprietorNo
Enumeration DateMarch 18, 2019
Last NPPES UpdateMarch 11, 2024
NPPES CertifiedDecember 23, 2021
✔ NPI 1629537741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WI · 76548
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.
1700 W STOUT ST, Rice Lake, WI 54868
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Secondary Practice Location 1

Location 11650 Grand ConcourseBronx, NY 10457-7606 · Phone (718) 960-1417 · Fax (718) 518-5124

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Sanford Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ahmed Elsayed Ali Hanafy Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

6

Medicare enrollment records show Ahmed Hanafy reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lakeview Medical Center Inc Of Rice Lake
Same address
Clinic/Center
1700 W STOUT ST
Rice Lake, WI 54868
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,616 clinicians in this Medicare group
NPI 1790320687 (715) 236-8100
Mchs Hospitals Inc
31 mi
Critical Access
1200 PORT ARTHUR RD
Ladysmith, WI 54848
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,476 clinicians in this Medicare group
NPI 1952890873 (715) 532-5561
Flambeau Hospital Inc
70 mi
Clinic/Center
98 SHERRY AVE
Park Falls, WI 54552
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1700963048 (Wisconsin)
  • 1,351 clinicians in this Medicare group
NPI 1194317966 (715) 762-2484
Memorial Hospital Inc
86 mi
Clinic/Center
N3708 RIVER AVE
Neillsville, WI 54456
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1346239373 (Wisconsin)
  • 1,440 clinicians in this Medicare group
NPI 1033701800 (715) 743-3101
Marshfield Clinic Inc
97 mi
Clinic/Center
1000 N OAK AVE
Marshfield, WI 54449
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,540 clinicians in this Medicare group
NPI 1952347981 (715) 387-5511
Beaver Dam Community Hospitals Inc
198 mi
Family Medicine
180 GATEWAY DR
Waupun, WI 53963
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,447 clinicians in this Medicare group
NPI 1629374780 (920) 345-1306

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 54868 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 20

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

THOMAS G GERBER JR. MD
Otolaryngology
1700 W STOUT ST
RICE LAKE, WI 54868
Barron County (715) 236-8100
MRS. LINDSEY MARIE MORAVCHIK PA
Physician Assistant
1700 W STOUT ST
RICE LAKE, WI 54868
Barron County (715) 236-8100
WILLIAM A SMITH MD
Family Medicine
1700 W STOUT ST
RICE LAKE, WI 54868
Barron County (715) 236-8100
MICHELE C. BYRON MD
Obstetrics & Gynecology
1700 W STOUT ST
RICE LAKE, WI 54868
Barron County (715) 236-8100
CHRISTINE KESSLER
Occupational Therapist
1700 W STOUT ST
RICE LAKE, WI 54868
Barron County (715) 234-1515
LARA CHARITY STAUNER APNP
Nurse Practitioner (Family)
1700 W STOUT ST
RICE LAKE, WI 54868
Barron County (715) 236-8100
TOTAL RENAL CARE INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1700 W STOUT ST
RICE LAKE, WI 54868
Barron County (715) 236-6159
ALBOURY SOW M.D.
Emergency Medicine
1700 W STOUT ST
RICE LAKE, WI 54868
Barron County (715) 236-6291

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 Ahmed Hanafy's NPI number?

The NPI number for Ahmed Hanafy is 1629537741. It was assigned to this individual provider in the NPPES registry on March 18, 2019.

Where is Ahmed Hanafy located?

Ahmed Hanafy practices at 1700 W Stout St, Rice Lake, WI 54868. The listed phone number is (715) 236-8385.

What is Ahmed Hanafy's specialty?

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

Is Ahmed Hanafy enrolled in Medicare?

Yes. Ahmed Hanafy is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ahmed Hanafy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ahmed Hanafy reassigns Medicare benefits to 6 organizations: Lakeview Medical Center Inc Of Rice Lake (Rice Lake, WI), Mchs Hospitals Inc (Ladysmith, WI), Flambeau Hospital Inc (Park Falls, WI), Memorial Hospital Inc (Neillsville, WI), Marshfield Clinic Inc (Marshfield, WI) and 1 more organization, 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 Ahmed Hanafy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ahmed Hanafy accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Sanford Health Plan and Security Health Plan list Ahmed Hanafy 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 Ahmed Hanafy was last updated on March 11, 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.