Active NPI
Abdel Hai Ismail Alqwasmi, M.D
- Hematology & Oncology Physician
- West Bend, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 62404
- Practice address
- 3200 Pleasant Valley Rd
Division of Neoplastic Diseases
West Bend, WI 53095-9274 - Phone
- (262) 836-7200
- Fax
- (262) 306-7851
- NPI assigned
- Feb 10, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301092523 | MI | |
| Hematology & Oncology Physician | 207RH0003X | 62404 | WI | Primary |
Addresses
Primary practice location
3200 Pleasant Valley Rd
Division of Neoplastic Diseases
West Bend, WI 53095-9274
Mailing address
3200 Pleasant Valley Rd
Division of Neoplastic Diseases
West Bend, WI 53095-9274
Phone (262) 836-7200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003055302 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140718001866 | WI | Practitioner - Hematology/Oncology | 3678799129 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3200 Pleasant Valley Rd
West Bend, WI 53095-9274
Phone (262) 836-7300
3212 Pleasant Valley Rd
West Bend, WI 53095-9274
Phone (262) 334-6165
8701 W Watertown Plank
Milwaukee, WI 53226-3548
Phone (414) 805-3666
8701 Watertown Plank Rd
Room 4041 MFRC
Milwaukee, WI 53226-3548
Phone (414) 805-3666
W180 N8065 Town Hall Rd
Menomonee Falls, WI 53051-3518
Phone (262) 251-1000
W180N8071 Town Hall Rd
Menomonee Falls, WI 53051-3518
Phone (262) 253-2700
W180N8085 Town Hall Rd
Suite 301
Menomonee Falls, WI 53051-3518
Phone (262) 257-3200
Hospital & facility affiliations
- Horizon Home Care and Hospice
- Froedtert Memorial Lutheran Hospital
- Community Memorial Hospital
- St Josephs Community Hospital West Bend
- Froedtert Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301092523 | MI | MD | Internal Medicine Physician |
| 62404 | WI | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Medical College of Wisconsin, Inc. | Internal Medicine | Current | Accepting new patients |
| The Medical College of Wisconsin Inc | Past | Accepting new patients |
Locations
W180N8085 Town Hall Rd
Menomonee Fls, WI 53051
Phone (262) 257-5000
1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990
8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100
3200 Pleasant Valley Rd
West Bend, WI 53095
Phone (262) 334-5533
Interoperability endpoints
- aalqwasmimd160897@direct.froedtert.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
Internal Medicine, WI
-
- Internal Medicine Physician
- Menomonee Falls, WI
- NPI 1568787448
WI
-
- Case Management Agency
- Milwaukee, WI
- NPI 1649521105
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Menomonee Falls, WI
- NPI 1609822881
Hospital
-
- General Acute Care Hospital
- Oak Creek, WI
- NPI 1134794506
Hospital
-
- General Acute Care Hospital
- New Berlin, WI
- NPI 1730710898
Hospital
-
- General Acute Care Hospital
- Pewaukee, WI
- NPI 1740805423
Hospital
-
- General Acute Care Hospital
- Mequon, WI
- NPI 1902474430
Hospital
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1255334173
Hospital
-
- Home Health Agency
- Milwaukee, WI
- NPI 1780687327
-
- General Acute Care Hospital
- West Bend, WI
- NPI 1851336044
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405382400000",
"number": "1003055302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 PLEASANT VALLEY RD",
"address_2": "DIVISION OF NEOPLASTIC DISEASES",
"city": "WEST BEND",
"state": "WI",
"postal_code": "530959274",
"telephone_number": "262-836-7200",
"fax_number": "262-306-7851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 PLEASANT VALLEY RD",
"address_2": "DIVISION OF NEOPLASTIC DISEASES",
"city": "WEST BEND",
"state": "WI",
"postal_code": "530959274",
"telephone_number": "262-836-7200",
"fax_number": "262-306-7851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALQWASMI",
"first_name": "ABDEL HAI",
"middle_name": "ISMAIL",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-02-10",
"last_updated": "2014-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301092523",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "WI",
"license": "62404",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1003055302",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Bend, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.