Individual provider Active NPI

Hiwot Ayalew Gobezie, MD

  • Hospitalist Physician
  • Fond Du Lac, WI
National Provider Identifier
1326677196
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
82406-20 Issued in WI
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231229001293 WI Practitioner - Internal MedicinePractitioner - Hospitalist 5597115733 Reassigns benefits to 3 organizations
I20240820000434 KS Practitioner - Internal Medicine 5597115733 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vigilias LLCGroup PAC ID 9133433279, 49 clinicians
Agnesian Healthcare IncGroup PAC ID 1658289624, 392 clinicians

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

LicenseStateTypeSpecialty
82406-20WIMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newman Memorial County Hospital Current Accepting new patients
Aspirus Wausau Hospital, Inc. CurrentSince Nov 5, 2023 Accepting new patients
Newman Memorial County Hospital Current Accepting new patients
Agnesian Healthcare, Inc Current Accepting new patients
Agnesian Healthcare Inc CurrentSince Feb 28, 2024 Accepting new patients
Vigilias LLC Internal Medicine CurrentSince May 25, 2024 Accepting new patients
Aspirus Wausau Hospital Inc CurrentSince Nov 5, 2023 Accepting new patients
Newman Memorial County Hospital Hospitalist CurrentSince Oct 1, 2024 Accepting new patients
Agnesian Healthcare Inc Internal Medicine CurrentSince Feb 28, 2024 Accepting new patients
Newman Memorial County Hospital CurrentSince Oct 1, 2024 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

  • Direct secure messaging: hgobezie504400@direct-ehr-ssmhc.com
  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.