Individual provider Active NPI

Hassan Homida, MD

  • Internal Medicine Physician
  • Janesville, WI
National Provider Identifier
1073017695
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
73168-20 Issued in WI
Practice address
1000 Mineral Point Ave
Janesville, WI 53548-2940
Phone
(608) 756-6868
NPI assigned
Mar 20, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 73168-20 WI
Nephrology Physician 207RN0300X EMC0009978 MI
Internal Medicine Physician 207R00000X 73168-20 WI Primary

Addresses

Primary practice location

1000 Mineral Point Ave
Janesville, WI 53548-2940

Mailing address

9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone (312) 508-0545

Other practice location 1

3535 W 13 Mile Rd Ste 644
Royal Oak, MI 48073-6770
Phone (248) 551-1010

Other practice location 2

2340 N Cramer St Unit 516
Milwaukee, WI 53211-4382
Phone (312) 508-0545

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hhomida3693683@epic00.corewelldirect.org

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230309000752 WI Practitioner - Internal MedicinePractitioner - Family Practice 3779977103 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Independent Physicians of Wisconsin LLCGroup PAC ID 3274842034, 42 clinicians
Wisconsin Health FundGroup PAC ID 3072401298, 27 clinicians

Practice addresses (Care Compare)

5434 W Capitol Dr
Suite 3
Milwaukee, WI 53216-2298
Phone (414) 875-0505

6200 W Bluemound Rd
Milwaukee, WI 53213-4145
Phone (414) 771-5600

Hospital & facility affiliations

  • Mercy Hospital Southeast Hospital, Cape Girardeau, MO, CCN 260110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
73168-20WIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia St. Mary'S Hospital Milwaukee, Inc Current Accepting new patients
Apogee Medical Group Indiana PC Internal Medicine CurrentSince Jan 1, 2024 Accepting new patients
Mercy Health System Corporation CurrentSince Sep 15, 2024 Accepting new patients
Providence Health & Services - Washington Internal Medicine CurrentSince Apr 27, 2025 Accepting new patients
Mercy Health System Corporation CurrentSince Sep 15, 2024 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc Internal Medicine CurrentSince Apr 1, 2024 Accepting new patients
Apogee Medical Group Waukesha, SC CurrentSince Jan 15, 2023 Accepting new patients
Mercy Health System Corporation Current Accepting new patients
Providence Health & Services - Washington CurrentSince Apr 27, 2025 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee Inc CurrentSince Apr 1, 2024 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee Inc CurrentSince Apr 1, 2024 Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince Mar 26, 2024 Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince Mar 26, 2024 Accepting new patients
Wisconsin Health Fund CurrentSince Aug 21, 2025 Accepting new patients
Independent Physicians of Wisconsin, LLC Internal Medicine CurrentSince Dec 1, 2023 Accepting new patients
Independent Physicians of Wisconsin, LLC CurrentSince Dec 1, 2023 Accepting new patients

Locations

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280

380 Chase Ave
Walla Walla, WA 99362
Phone (509) 526-3333

401 W Poplar St
Walla Walla, WA 99362
Phone (509) 522-5731

1501 S Madison St
Appleton, WI 54915
Phone (920) 730-4435

1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

4931 S 27th St
Ste 400B
Greenfield, WI 53221
Phone (262) 261-8880

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

6200 W Bluemound Rd
Milwaukee, WI 53213
Phone (414) 479-3668

4931 S 27th St
Milwaukee, WI 53221
Phone (414) 249-3250

5434 W Capitol Dr
Ste 3
Milwaukee, WI 53216
Phone (414) 217-1229

2323 N Lake Dr
Milwaukee, WI 53211
Phone (414) 291-1000

5300 W Villard Ave
Milwaukee, WI 53218
Phone (262) 717-5478

3801 Spring St
Mount Pleasant, WI 53405
Phone (262) 636-4011

240 Maple Ave
Mukwonago, WI 53149
Phone (262) 928-1900

2700 W 9th Ave
Oshkosh, WI 54904
Phone (920) 223-0220

791 Summit Ave
Summit, WI 53066
Phone (262) 569-0251

13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300

725 American Ave
Waukesha, WI 53188
Phone (262) 544-2011

9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600

Interoperability endpoints

  • Direct secure messaging: hassan.homida.1@18758.direct.athenahealth.com

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1073017695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 W WISCONSIN AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532263522",
            "telephone_number": "312-508-0545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MINERAL POINT AVE",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535482940",
            "telephone_number": "608-756-6868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3535 W 13 Mile Rd Ste 644",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480736770",
            "country_code": "US",
            "telephone_number": "248-551-1010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2340 N Cramer St Unit 516",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532114382",
            "country_code": "US",
            "telephone_number": "312-508-0545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOMIDA",
        "first_name": "HASSAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-20",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WI",
            "license": "73168-20",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "EMC0009978",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "73168-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hhomida3693683@epic00.corewelldirect.org",
            "affiliation": "N",
            "address_1": "3535 W 13 Mile Rd Ste 644",
            "city": "Royal Oak",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480736770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Janesville, WI

Sources for this page

Verify at the official NPI Registry.