DR. MAHMOUD ELBADRAWY MD
NPI 1750024121
Internal Medicine in Fond Du Lac, WI
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
Specialties & Licenses
Secondary Practice Location 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. 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.
Medicare Billing Reassignments
4Medicare enrollment records show Mahmoud Elbadrawy reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fond Du Lac, WI 54935
- Reassigned Medicare billing, Wisconsin enrollment
- 606 clinicians in this Medicare group
Forrest, IL 61741
- Reassigned Medicare billing, Illinois enrollment
- 201 clinicians in this Medicare group
Assumption, IL 62510
- Reassigned Medicare billing, Illinois enrollment
- 98 clinicians in this Medicare group
Pittsfield, IL 62363
- Reassigned Medicare billing, Illinois enrollment
- 33 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.
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, ILPana Community Hospital
Critical Access Hospitals · Pana, ILSt. Agnes Hospital Hospice
Acute Care Hospitals · Fond Du Lac, WIPhysician 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.
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.
FOND DU LAC, WI 54935
FOND DU LAC, WI 54935
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.
Which organizations bill Medicare for Mahmoud Elbadrawy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mahmoud Elbadrawy reassigns Medicare benefits to 4 organizations: Agnesian Healthcare Inc (Fond Du Lac, WI), Gibson Community Hospital Association (Forrest, IL), Pana Community Hospital Association (Assumption, IL) and Blessingcare Corporation (Pittsfield, IL). 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 Mahmoud Elbadrawy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mahmoud Elbadrawy accept?
Health plans from Anthem Blue Cross and Blue Shield 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 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. Mahmoud Elbadrawy, MD · NPI 1750024121
Internal Medicine physician in Fond Du Lac, Wisconsin. Individual provider, active in the CMS NPPES registry since April 14, 2022.
## Identity
- **NPI:** 1750024121 (Entity type: Individual)
- **Enumerated:** April 14, 2022
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 84938-20 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 420 E DIVISION ST, Fond Du Lac, WI 54935-4560
- **Phone:** (920) 926-8200
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Agnesian Healthcare Inc (NPI 1730162991, Fond Du Lac, WI); Gibson Community Hospital Association (NPI 1063462976, Forrest, IL); Pana Community Hospital Association (NPI 1487843959, Assumption, IL); Blessingcare Corporation (NPI 1720086218, Pittsfield, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** July 21, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1750024121) · Data from the CMS NPPES public registry.