Manar K Al Shahrouri, MD
Individual provider Active NPI Pulmonary Disease Physician · Green Bay, WI
NPI 1093731382 · NPPES record last updated Jul 25, 2022
Key facts
- NPI
- 1093731382
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- License
- 48991-20 (WI)
- Practice address
- 744 S Webster Ave
Green Bay, WI 54301-3505 - Phone
- (920) 433-3706
- Fax
- (920) 433-3582
- NPI assigned
- Jul 14, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 25
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Pulmonary Disease
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Oconto Hospital and Medical Center Inc
Bellin Memorial Hospital Inc
Practice addresses (Care Compare)
2820 Roosevelt Rd
Marinette, WI 54143-3834
Phone (715) 735-5225
744 S Webster Ave
Green Bay, WI 54301-3505
Phone (920) 433-6025
Hospital & facility affiliations
- Bellin Memorial Hospital
- Osf St Francis Hospital and Medical Group
- Bellin Health Oconto Hospital
- Door County Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060915000339 | WI | Practitioner - Pulmonary Disease |
2860497385 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oconto Hospital & Medical Center Inc | Current |
Accepting new patients | |
| Oconto Hospital & Medical Center Inc | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Current |
Accepting new patients | |
| Bellin Memorial Hospital Inc | Current |
Accepting new patients | |
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Oconto Hospital & Medical Center Inc | Current |
Accepting new patients | |
| Kentucky Lung Clinic, Inc | Pulmonary Disease | Past | Accepting new patients |
Locations
835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246
1726 Shawano Ave
Green Bay, WI 54303
Phone (920) 432-6016
744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025
2820 Roosevelt Rd
Marinette, WI 54143
Phone (715) 330-6171
820 Arbutus Ave
Oconto, WI 54153
Phone (920) 835-1100
Interoperability endpoints
- malshahrouri973351@direct.emplifyhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 48991-20 | WI | Yes |
Addresses
Primary practice location
744 S Webster Ave
Green Bay, WI 54301-3505
Mailing address
PO Box 22487
Green Bay, WI 54305-2487
Phone (920) 445-7210
Other practice location 1
2820 Roosevelt Rd
Marinette, WI 54143-3834
Phone (715) 735-5225
Other practice location 2
820 Arbutus Ave
Oconto, WI 54153-2004
Phone (920) 835-1100
Other names
- Manar K Alshahrouri
Other providers in Green Bay, WI
- Rachel Ajack
- Yousaf Ajam
- Zaheer Akhtar
- Andrea Okiemute Akpoguma
- Kirsten Onome Akpoguma
- Ali Adil Al-Humadi
- Fatema Al-Wahshi
- Alan W Resch Enterprises SC
- Bahareh Nicole Alavi-Dunn
- Joseph Francis Albers
All providers in Green Bay, WI · Pulmonary Disease Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.