Abdulmoniem H Abdulmoniem, M.D.

Individual provider Active NPI Emergency Medicine Physician · Elkhorn, WI

NPI 1194175042 · NPPES record last updated Dec 26, 2025

Key facts

NPI
1194175042
Entity type
Individual (NPI type 1)
Primary specialty
Emergency Medicine Physician 207P00000X
License
75558 (WI)
Practice address
W3985 County Road NN
Elkhorn, WI 53121-4337
Phone
(262) 741-2000
NPI assigned
Jun 21, 2016
Sex
Male
Sole proprietor
Yes

Organizations & group practices 5

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.

Hospital & facility affiliations 4

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

Medicare Care Compare profile

Specialty
Critical Care (Intensivists)
Also: Emergency Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aurora Medical Group, Inc. (3,764 clinicians)

Practice addresses (Care Compare)

2900 W Oklahoma Ave
Milwaukee, WI 53215-4330
Phone (414) 646-5410

Hospital & facility affiliations

  • Aurora at Home Hospice · Wauwatosa, WI · CCN 521528
  • Aurora St Lukes Medical Center Hospital · Milwaukee, WI · CCN 520138
  • Aurora Medical Center Kenosha Hospital · Kenosha, WI · CCN 520189

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in WI, IL
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20210617000611 WI Practitioner - Critical Care (Intensivists)
Practitioner - Emergency Medicine
4284069121 Reassigns benefits to 1 organization
I20251029002044 IL Practitioner - Critical Care (Intensivists) 4284069121 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
75558WIMDEmergency Medicine Physician
036.171805ILMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Medical Group, Inc. Current
since Jul 5, 2021
Accepting new patients
Advocate Health and Hospitals Corporation Current
since Oct 20, 2025
Accepting new patients
Advocate Health and Hospitals Corporation Current
since Oct 20, 2025
Accepting new patients
Aurora Medical Group, Inc. Current Accepting new patients
Aurora Medical Group, Inc. Current
since Jul 5, 2021
Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

29373 Network Pl
Chicago, IL 60673

9555 S 52nd Ave
Oak Lawn, IL 60453
Phone (708) 422-5700

W3985 Highway NN
Elkhorn, WI 53121
Phone (262) 741-2000

3301 W Forest Home Ave
Milwaukee, WI 53215
Phone (414) 389-2233

2900 W Oklahoma Ave
Milwaukee, WI 53215
Phone (414) 385-2590

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

Interoperability endpoints

  • Direct secure messaging: amoniem307081@direct.myadvocateaurora.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0101266353 VA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 036.171805 IL
Emergency Medicine Physician 207P00000X 75558 WI Yes

Addresses

Primary practice location

W3985 County Road NN
Elkhorn, WI 53121-4337

Mailing address

PO Box 735044
Chicago, IL 60673-5044
Phone (800) 326-2250

Other practice location 1

1 Brookdale Plz
Brooklyn, NY 11212-3139
Phone (718) 240-5000

Other practice location 2

9555 S 52nd Ave
Oak Lawn, IL 60453-3054
Phone (708) 634-0950

Other identifiers

IdentifierTypeStateIssuer
100170895MedicaidWI

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other ABILITY Network
Direct Messaging Address amoniem307081@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address amoniem307081@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Other providers in Elkhorn, WI

All providers in Elkhorn, WI · Emergency Medicine Physician in Wisconsin

Sources for this page

Verify at the official NPI Registry.