Individual provider Active NPI

Abdul Mohsin, M.D.

  • Hospitalist Physician
  • Green Bay, WI
National Provider Identifier
1265679724
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
63762-20 Issued in WI
Practice address
744 S Webster Ave
Green Bay, WI 54301
Phone
(920) 445-7222
Fax
(920) 445-7289
NPI assigned
Jan 20, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 63762-20 WI
Hospitalist Physician 208M00000X 52838 MN
Hospitalist Physician 208M00000X 168654 OR
Hospitalist Physician 208M00000X 63762-20 WI Primary

Addresses

Primary practice location

744 S Webster Ave
Green Bay, WI 54301

Mailing address

PO Box 22487
Green Bay, WI 54305-2487
Phone (920) 445-7222

Other practice location 1

515 22nd Ave
Monroe Clinic
Monroe, WI 53566-1569
Phone (608) 324-2222

Other identifiers 1

IdentifierTypeStateIssuer
100048516MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address amohsin156839@direct.myadvocateaurora.org
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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
I20150915002549 WI Practitioner - Internal Medicine 6406048321 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meriter Hospital IncGroup PAC ID 3971412735, 122 clinicians
Informe Healthcare Il LLCGroup PAC ID 8123448784, 24 clinicians

Practice addresses (Care Compare)

202 S Park St
Madison, WI 53715-1507
Phone (608) 417-6000

6308 8TH Ave
Kenosha, WI 53143-5031
Phone (262) 771-0073

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
63762-20WIMDInternal Medicine Physician
52838MNMDHospitalist Physician
168654ORMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Medical Group-Southeast Wisconsin Inc Internal Medicine CurrentSince Apr 2, 2018 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee Inc CurrentSince Nov 15, 2018 Accepting new patients
Baycare Aurora, LLC Hospitalist CurrentSince Apr 5, 2020 Accepting new patients
Meriter Hospital, Inc. CurrentSince Aug 1, 2019 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee, Inc CurrentSince Nov 15, 2018 Accepting new patients
Aurora Medical Group, Inc. Internal Medicine CurrentSince Sep 11, 2018 Accepting new patients
Meriter Hospital, Inc. Current Accepting new patients
Informe Healthcare Il LLC Internal Medicine CurrentSince Sep 8, 2025 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Sep 11, 2018 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Sacred Heart Rehabilitation Institute, Inc. PastSince Jun 21, 2022 Accepting new patients

Locations

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

744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025

2845 Greenbrier Rd
Green Bay, WI 54311
Phone (920) 288-3388

2253 W Mason St
Green Bay, WI 54303
Phone (920) 327-7000

6308 8th Ave
Kenosha, WI 53143
Phone (262) 653-5300

202 S Park St
#8T
Madison, WI 53715

3102 Meriter Way
Madison, WI 53719
Phone (608) 417-8800

202 S Park St
Madison, WI 53715
Phone (608) 267-6000

2300 Western Ave
Manitowoc, WI 54220
Phone (920) 320-2011

3003 University Dr
Marinette, WI 54143
Phone (715) 735-4200

950 N 12th St
Milwaukee, WI 53233
Phone (414) 219-6036

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

2741 W Layton Ave
Ste 106
Milwaukee, WI 53221

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

515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000

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

1136 Westowne Dr
Neenah, WI 54956
Phone (920) 456-2030

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

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

Interoperability endpoints

  • Direct secure messaging: amohsin677334@direct.unitypoint.org

Organizations & group practices 11

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 6

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": "1232409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1265679724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22487",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543052487",
            "telephone_number": "920-445-7222",
            "fax_number": "920-445-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 S WEBSTER AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "54301",
            "telephone_number": "920-445-7222",
            "fax_number": "920-445-7289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 22nd Ave",
            "address_2": "Monroe Clinic",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "WI",
            "postal_code": "535661569",
            "country_code": "US",
            "telephone_number": "608-324-2222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHSIN",
        "first_name": "ABDUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-20",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "63762-20",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MN",
            "license": "52838",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OR",
            "license": "168654",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WI",
            "license": "63762-20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100048516",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amohsin156839@direct.myadvocateaurora.org",
            "affiliation": "N",
            "address_1": "515 22nd Ave",
            "address_2": "Monroe Clinic",
            "city": "Monroe",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535661569",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "515 22nd Ave",
            "address_2": "Monroe Clinic",
            "city": "Monroe",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535661569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

Verify at the official NPI Registry.