1. Home
  2. Directory
  3. Wisconsin
  4. Fond Du Lac
  5. Internal Medicine
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. MAHMOUD ELBADRAWY MD
NPI 1750024121
Internal Medicine in Fond Du Lac, WI

Active since April 14, 2022PECOS Enrolled
420 E DIVISION ST, FOND DU LAC, WI 54935(920) 926-8200 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2026, May 29, 2026, Dec 11, 2025 and 4 more (7 updates tracked since 2022).

About Dr. Mahmoud Elbadrawy Md NPPES

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

DR. MAHMOUD ELBADRAWY MD (NPI 1750024121) is an individual internal medicine provider in Fond Du Lac, Wisconsin, licensed in Wisconsin (84938-20) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Illini Community Hospital, and maintains a secondary practice location in Gibson City.

NPPES Registry Identity

NPI1750024121
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MAHMOUD ELBADRAWYCredential: MD
Location Address420 E DIVISION STFond Du Lac, WI 54935-4560
Mailing Address420 E Division StFond Du Lac, WI 54935-4560 · (920) 926-8200
Phone(920) 926-8200
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 14, 2022
Last NPPES UpdateJuly 21, 20267 updates tracked since enumeration
NPPES CertifiedJuly 21, 2026
✔ NPI 1750024121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in WI · 84938-20✔ Licensed in IL · 036177234
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.
420 E DIVISION ST, Fond Du Lac, WI 54935
Open in Google Maps ↗

Secondary Practice Location 1

Location 11120 N Melvin StGibson City, IL 60936-1477 · Phone (217) 784-4251

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health, Quartz.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. Mahmoud Elbadrawy 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.

PECOS PAC ID1153761655
PECOS Enrollment IDI20250714002582, I20251110000362
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.

Hospital Affiliations CMS Care Compare 3

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

Illini Community Hospital

Critical Access Hospitals · Pittsfield, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141315
Location640 W WashingtonPittsfield, IL 62363 · Pike County
Emergency services

Pana Community Hospital

Critical Access Hospitals · Pana, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141341
Location101 E Ninth StreetPana, IL 62557 · Christian County
Emergency services

St. Agnes Hospital Hospice

Acute Care Hospitals · Fond Du Lac, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520088
Location430 E Division StFond Du Lac, WI 54935 · Fond Du Lac County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54935 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.

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.

MARY R KELM NP
Nurse Practitioner
420 E DIVISION ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 926-8230
SARA J RIEGERT MD
Obstetrics & Gynecology
420 E DIVISION ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 926-8450
CHRISTOPHER C TUVESON MD
Urology
420 E DIVISION ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 926-8495
DR. DOMENICK TIRABASSI IV PSYD
Psychologist
420 E DIVISION ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 926-8492
MICHELLE KEHRMEYER N.P.
Nurse Practitioner (Psychiatric/Mental Health)
420 E DIVISION ST
FOND DU LAC, WI 54935
Fond Du Lac County (209) 926-4197
KIERSTYN LEE LOMPREY FNP-BC
Nurse Practitioner
420 E DIVISION ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 929-2300
MRS. JENNIFER NICOLE STEPHANY APNP
Nurse Practitioner (Family)
420 E DIVISION ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 926-8200
SEAN P HEDICAN MD
Urology
420 E DIVISION ST
FOND DU LAC, WI 54935
Fond Du Lac County (209) 268-4959

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 Mahmoud Elbadrawy's NPI number?

The NPI number for Mahmoud Elbadrawy is 1750024121. It was assigned to this individual provider in the NPPES registry on April 14, 2022.

Where is Mahmoud Elbadrawy located?

Mahmoud Elbadrawy practices at 420 E Division St, Fond Du Lac, WI 54935. The listed phone number is (920) 926-8200.

What is Mahmoud Elbadrawy's specialty?

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

Is Mahmoud Elbadrawy enrolled in Medicare?

Yes. Mahmoud Elbadrawy 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 Mahmoud Elbadrawy accept?

Health plans from Anthem Blue Cross and Blue Shield, Network Health and Quartz list Mahmoud Elbadrawy 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 Mahmoud Elbadrawy affiliated with any hospitals?

According to CMS data, Mahmoud Elbadrawy is affiliated with Illini Community Hospital, Pana Community Hospital and St. Agnes Hospital Hospice.

When was this NPI record last updated?

The NPPES record for Mahmoud Elbadrawy was last updated on July 21, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.