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
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Critical Care (Intensivists)
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aurora Medical Group, Inc.
Practice addresses (Care Compare)
2900 W Oklahoma Ave
Milwaukee, WI 53215-4330
Phone (414) 646-5410
Hospital & facility affiliations
- Aurora at Home
- Aurora St Lukes Medical Center
- Aurora Medical Center Kenosha
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210617000611 | WI | Practitioner - Critical Care (Intensivists) |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 75558 | WI | MD | Emergency Medicine Physician |
| 036.171805 | IL | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Medical Group, Inc. | Current |
Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current |
Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current |
Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current |
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
- amoniem307081@direct.myadvocateaurora.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100170895 | Medicaid | WI |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 26, 2025. 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.