Hani Alboushi, MD
Individual provider Active NPI Adult Medicine Physician · Sheboygan, WI
NPI 1669624813 · NPPES record last updated Oct 12, 2023
Key facts
- NPI
- 1669624813
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Medicine Physician 207QA0505X
- License
- 62254-20 (WI)
- Practice address
- 2414 Kohler Memorial Dr
306
Sheboygan, WI 53081-3129 - Phone
- (920) 457-4467
- Fax
- (920) 459-1408
- NPI assigned
- Oct 21, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Honorhealth Medical Group, LLC
Practice addresses (Care Compare)
3501 N Scottsdale Rd
Suite 280
Scottsdale, AZ 85251-5650
Phone (480) 882-7300
Hospital & facility affiliations
- Honorhealth Scottsdale Osborn Medical Center
- Honorhealth Scottsdale Shea Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- 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 |
|---|---|---|---|---|
| I20250828004244 | AZ | Practitioner - Family Practice | 0042488645 | Reassigns benefits to 2 organizations |
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 |
|---|---|---|---|
| 62254-20 | WI | MD | Adult Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Honorhealth Medical Group, LLC | Family Medicine | Current |
Accepting new patients |
| Honorhealth Urgent Care, LLC | Current |
Accepting new patients | |
| Honorhealth Medical Group, LLC | Current | Accepting new patients | |
| Honorhealth Urgent Care, LLC | Family Medicine | Current | Accepting new patients |
| Honorhealth Medical Group, LLC | Family Medicine | Current |
Accepting new patients |
| Honorhealth Medical Group, LLC | Family Medicine | Past | Accepting new patients |
Locations
3648 W Anthem Way
Bldg A100C
Anthem, AZ 85086
Phone (623) 434-6444
16716 E Palisades Blvd
Ste 101B
Fountain Hills, AZ 85268
Phone (480) 587-5738
6220 W Bell Rd
Ste 130
Glendale, AZ 85308
Phone (602) 547-7348
1507 N Litchfield Rd
Ste 200
Goodyear, AZ 85395
Phone (623) 215-0040
10230 W Happy Valley Pkwy
Ste 100
Peoria, AZ 85383
Phone (623) 266-4699
1515 E Bethany Home Rd
Ste 120B
Phoenix, AZ 85014
Phone (480) 324-7231
2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462
10200 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 314-2288
3501 N Scottsdale Rd
Ste 280
Scottsdale, AZ 85251
Phone (480) 882-7300
12775 W Bell Rd
Ste 100
Surprise, AZ 85378
Phone (623) 215-0082
Interoperability endpoints
- halboushi649366@direct.honorhealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 62254-20 | WI | Yes |
Addresses
Primary practice location
2414 Kohler Memorial Dr
306
Sheboygan, WI 53081-3129
Mailing address
3919 Mendocino LN
306
Sheboygan, WI 53083-1883
Phone (701) 340-2672
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100038809 | Medicaid | WI |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ | ||
| Direct Messaging Address | halboushi117935@direct.myadvocateaurora.org | Direct |
Other providers in Sheboygan, WI
- Advanced Hearing Aid & Audiology Associates, LLC
- Advanced Pain Management
- Advanced Pain Management SC
- Chukwudi Isreal Agbor
- Catherine Jane Ahern
- Anna Alex
- Adebisi O Alimi
- Allison M Allen
- Laura Alsteen
- Lucas Scott Altman
All providers in Sheboygan, WI · Adult 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 Oct 12, 2023. 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.