Adebisi O Alimi, M.D.
Individual provider Active NPI Gastroenterology Physician · Sheboygan, WI
NPI 1649599317 · NPPES record last updated Sep 15, 2020
Key facts
- NPI
- 1649599317
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- License
- 57279-20 (WI)
- Practice address
- 3113 Saemann Ave
Sheboygan, WI 53081-1957 - Phone
- (920) 496-4700
- NPI assigned
- May 20, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 21
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Vincent Hospital-Hospital Sisters-Third Order of St Francis
St. Nicholas Hospital-Sisters of the Third Order of St Francis
Practice addresses (Care Compare)
1409 Cleveland Ave
Marinette, WI 54143-3918
Phone (920) 496-4700
3100 Superior Ave
Sheboygan, WI 53081-1948
Phone (920) 459-8300
4810 Expo Dr
Manitowoc, WI 54220-9341
Phone (920) 717-0800
835 S Van Buren St
Green Bay, WI 54301-3526
Phone (920) 496-4700
Hospital & facility affiliations
- St Nicholas Hospital
- St Vincent Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.81 of 100
- Quality
- 85.98
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 67 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 95 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WI, NY
- 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 |
|---|---|---|---|---|
| I20131003000474 | WI | Practitioner - Internal Medicine | 9537393665 | Reassigns benefits to 2 organizations |
| I20161007000387 | NY | Practitioner - Gastroenterology |
9537393665 |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2849521 | NY | MD | Gastroenterology Physician |
| 57279-20 | WI | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Vincent Hospital-Hospital Sisters-Third Order of St Francis | Current |
Accepting new patients | |
| St Nicholas Hospital-Sisters of the Third Order of St Francis | Current |
Accepting new patients | |
| St Vincent Hospital-Hospital Sisters-Third Order of St Francis | Gastroenterology | Current |
Accepting new patients |
| St. Nicholas Hospital-Sisters of the Third Order of St Francis | Gastroenterology | Current | Accepting new patients |
| St Nicholas Hospital-Sisters of the Third Order of St Francis | Current |
Accepting new patients |
Locations
835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246
1621 N Taylor Dr
Ste 200
Sheboygan, WI 53081
Phone (920) 458-5864
3113 Saemann Ave
Sheboygan, WI 53081
3100 Superior Ave
Sheboygan, WI 53081
Phone (800) 472-6710
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 57279-20 | WI | Yes |
| Gastroenterology Physician | 207RG0100X | 2849521 | NY | |
| Hospitalist Physician | 208M00000X | 5727920 | WI |
Addresses
Primary practice location
3113 Saemann Ave
Sheboygan, WI 53081-1957
Mailing address
PO Box 19070
Green Bay, WI 54307-9070
Phone (920) 496-4700
Other practice location 1
43 Scotland Ave
Albany, NY 12208-0000
Phone (518) 262-3111
Other practice location 2
1621 N Taylor Dr Ste 200
Sheboygan, WI 53081-1991
Phone (920) 496-4700
Other providers in Sheboygan, WI
- Advanced Pain Management SC
- Chukwudi Isreal Agbor
- Catherine Jane Ahern
- Hani Alboushi
- Anna Alex
- Allison M Allen
- Laura Alsteen
- Lucas Scott Altman
- Rachel Aman
- Amazing Health Care Agency LLC
All providers in Sheboygan, WI · Gastroenterology 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 Sep 15, 2020. 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.