Active NPI
Hiwot Ayalew Gobezie, MD
- Hospitalist Physician
- Fond Du Lac, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 82406-20
- Practice address
- 420 E Division St
Fond Du Lac, WI 54935-4560 - Phone
- (920) 926-8420
- Fax
- (920) 926-8913
- NPI assigned
- Apr 3, 2020
- Last updated
- Jul 11, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 82406-20 | WI | Primary |
Addresses
Primary practice location
420 E Division St
Fond Du Lac, WI 54935-4560
Mailing address
4507 Madison St
Riverdale, MD 20737-1934
Phone (614) 593-2290
Other practice location 1
1201 W 12th Ave
Emporia, KS 66801-2504
Phone (620) 343-6800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2659 Witzel Ave
Apt 206
Oshkosh, WI 54904-8195
Phone 3165007549710
420 E Division St
Fond Du Lac, WI 54935-4560
Phone (920) 923-7400
425 N Belmont Ave
Wichita, KS 67208-3810
Phone 3165007549700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82406-20 | WI | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newman Memorial County Hospital | Current | Accepting new patients | |
| Aspirus Wausau Hospital, Inc. | Current | Accepting new patients | |
| Newman Memorial County Hospital | Current | Accepting new patients | |
| Agnesian Healthcare, Inc | Current | Accepting new patients | |
| Agnesian Healthcare Inc | Current | Accepting new patients | |
| Vigilias LLC | Internal Medicine | Current | Accepting new patients |
| Aspirus Wausau Hospital Inc | Current | Accepting new patients | |
| Newman Memorial County Hospital | Hospitalist | Current | Accepting new patients |
| Agnesian Healthcare Inc | Internal Medicine | Current | Accepting new patients |
| Newman Memorial County Hospital | Current | Accepting new patients | |
| Aspirus Wausau Hospital, Inc. | Internal Medicine | Current | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
1201 W 12th Ave
Emporia, KS 66801
Phone (620) 343-2376
1301 W 12th Ave
Ste 301
Emporia, KS 66801
Phone (620) 343-2376
4723 E Douglas Ave
Wichita, KS 67218
Phone (316) 670-3800
801 E Douglas Ave
Fl 2ND
Wichita, KS 67202
Phone (316) 974-3161
420 E Division St
Fond du Lac, WI 54935
Phone (920) 923-7400
430 E Division St
Fond du Lac, WI 54935
Phone (920) 926-4200
360 S Mountin Dr
Mayville, WI 53050
Phone (920) 387-2111
333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160
Interoperability endpoints
- hgobezie504400@direct-ehr-ssmhc.com
- hiwot.gobezie.1@18308.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba SSM Health St Agnes Hospital Fond Du Lac
- General Acute Care Hospital
- Fond Du Lac, WI
- NPI 1346228541
-
dba Aspirus Wausau Hospital Hospitalists
- Clinic/Center
- Wausau, WI
- NPI 1922321140
Internal Medicine
-
dba Newman Medical Partners
- Rural Health Clinic/Center
- Emporia, KS
- NPI 1114085594
-
dba Newman Regional Health
- Critical Access Hospital
- Emporia, KS
- NPI 1245643576
-
dba SSM Health Fond Du Lac Regional Clinic
- Family Medicine Physician
- Fond Du Lac, WI
- NPI 1730162991
Internal Medicine
-
dba Aspirus Dermatology Clinic
- Dermatology Physician
- Wausau, WI
- NPI 1477883759
-
dba Aspirus Palliative Medicine- Wisconsin
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Wausau, WI
- NPI 1225905102
-
dba Newman Regional Health
- Family Medicine Physician
- Emporia, KS
- NPI 1659810133
Hospitalist
-
dba Newman Express Care
- Urgent Care Clinic/Center
- Emporia, KS
- NPI 1922306729
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba SSM Health St Agnes Hospital Fond Du Lac
- General Acute Care Hospital
- Fond Du Lac, WI
- NPI 1346228541
-
dba Bob Wilson Memorial Hospital
- Critical Access Hospital
- Ulysses, KS
- NPI 1235826454
-
dba St. Catherine Hospital - Garden City
- General Acute Care Hospital
- Garden City, KS
- NPI 1659360196
-
- Critical Access Hospital
- Syracuse, KS
- NPI 1932136074
-
- Critical Access Hospital
- Stafford, KS
- NPI 1295840999
-
- Medicare Defined Swing Bed Hospital Unit
- Stafford, KS
- NPI 1437258779
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752192000000",
"number": "1326677196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4507 MADISON ST",
"city": "RIVERDALE",
"state": "MD",
"postal_code": "207371934",
"telephone_number": "614-593-2290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 E DIVISION ST",
"city": "FOND DU LAC",
"state": "WI",
"postal_code": "549354560",
"telephone_number": "920-926-8420",
"fax_number": "920-926-8913"
}
],
"practiceLocations": [
{
"address_1": "1201 W 12th Ave",
"address_purpose": "LOCATION",
"city": "Emporia",
"state": "KS",
"postal_code": "668012504",
"country_code": "US",
"telephone_number": "620-343-6800",
"fax_number": "620-341-7821",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOBEZIE",
"first_name": "HIWOT",
"middle_name": "AYALEW",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-03",
"last_updated": "2025-07-11",
"certification_date": "2025-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "WI",
"license": "82406-20",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fond Du Lac, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.