Akm Abuhiya, MD
Individual provider Active NPI Pediatrics Physician · Fort Atkinson, WI
NPI 1164043097 · NPPES record last updated Jul 5, 2023
Key facts
- NPI
- 1164043097
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 82334-20 (WI)
- Practice address
- 500 McMillen St
Fort Atkinson, WI 53538-1233 - Phone
- (920) 563-5571
- NPI assigned
- May 1, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Pediatric Medicine
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1921 Stonecipher Dr
Ada, OK 74820-3439
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WI, TX
- 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 |
|---|---|---|---|---|
| I20230908003639 | WI | Practitioner - Pediatric Medicine | 8123482148 | Reassigns benefits to 2 organizations |
| I20260227001959 | TX | Practitioner - Pediatric Medicine | 8123482148 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health System Corporation | Current |
Accepting new patients | |
| Fort Healthcare Inc | Current |
Accepting new patients | |
| Mercy Health System Corporation | Current |
Accepting new patients | |
| Chickasaw Nation Division of Health | Current |
Accepting new patients | |
| Chickasaw Nation Division of Health | Current |
Accepting new patients | |
| Fort Healthcare Inc | Current |
Accepting new patients | |
| Chickasaw Nation Division of Health | Past | Accepting new patients |
Locations
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
1921 Stonecipher Dr
Ada, OK 74820
Phone (580) 421-4570
2510 Chickasaw Blvd
Ardmore, OK 73401
Phone (580) 226-8181
1438 Hardcastle Blvd
Purcell, OK 73080
Phone (405) 527-4700
817 E 6th St
Tishomingo, OK 73460
Phone (580) 371-2392
500 McMillen St
Fort Atkinson, WI 53538
Phone (920) 563-5571
611 Sherman Ave E
Fort Atkinson, WI 53538
Phone (920) 563-6667
1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868
N2950 State Road 67
Lake Geneva, WI 53147
Phone (262) 245-0535
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/8F7ruIta-JA7ecm4ommy-Q50dF1FkFe4/
- aabuhiya1270797@direct.casso.us.com
- akm.abuhiya@direct.forthc.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 82334-20 | WI | Yes |
Addresses
Primary practice location
500 McMillen St
Fort Atkinson, WI 53538-1233
Mailing address
500 McMillen St
Fort Atkinson, WI 53538-1233
Phone (920) 563-5571
Other providers in Fort Atkinson, WI
- 201 Water Front Dental LLC
- Abilities, Inc.
- Abilities, Inc.
- Pamela Abrahamsen
- Advanced Pain Management SC
- Aegis Group Practice LLC
- Nancy L Aguirre
- Alden at Fort Healthcare, LLC
- Laurie A. Alex
All providers in Fort Atkinson, WI · Pediatrics 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 5, 2023. 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.