Individual provider Active NPI

Mazin Mahgoub Noor, M.D.

  • Hospitalist Physician
  • Wailuku, HI
National Provider Identifier
1881838910
Registry record updated Dec 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
MD-18033 Issued in HI
Practice address
221 Mahalani St
Wailuku, HI 96793-2526
Phone
(808) 442-5503
NPI assigned
Apr 20, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 56323 WI
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208M00000X MD-18033 HI Primary

Addresses

Primary practice location

221 Mahalani St
Wailuku, HI 96793-2526

Mailing address

2180 Main St
Wailuku, HI 96793-1625
Phone (808) 242-6464

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mnoor22819@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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120905000164 WI Practitioner - HospitalistPractitioner - Internal Medicine 4981851573 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Froedtert Manitowoc Medical Group, LLCGroup PAC ID 2365836954, 156 clinicians
Baycare Aurora LLCGroup PAC ID 0244130557, 197 clinicians
Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians

Practice addresses (Care Compare)

1414 N Taylor Dr
Sheboygan, WI 53081-1988
Phone (920) 320-2436

2300 Western Ave
Manitowoc, WI 54220-3712
Phone (920) 320-2011

2323 N Lake Dr
Milwaukee, WI 53211-4508
Phone (414) 585-1000

2845 Greenbrier Rd
Green Bay, WI 54311-6519
Phone (920) 288-8000

3801 Spring St
Mount Pleasant, WI 53405-1667
Phone (262) 687-4011

855 N Westhaven Dr
Oshkosh, WI 54904-7668
Phone (920) 303-8700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
56323WIMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Wausau Hospital, Inc. Multi-Specialty Current Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc Multi-Specialty CurrentSince Feb 5, 2024 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee, Inc Multi-Specialty Current Accepting new patients
Aspirus Wausau Hospital, Inc. CurrentSince Jul 1, 2019 Accepting new patients
Baycare Aurora, LLC Multi-Specialty CurrentSince Aug 30, 2019 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee Inc CurrentSince Apr 9, 2024 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee Inc CurrentSince Apr 9, 2024 Accepting new patients
Froedtert Manitowoc Medical Group, LLC Multi-Specialty CurrentSince Aug 15, 2025 Accepting new patients
Aspirus Wausau Hospital, Inc. Multi-Specialty CurrentSince Jul 1, 2019 Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc Multi-Specialty CurrentSince Apr 30, 2024 Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc Multi-Specialty CurrentSince Apr 30, 2024 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

1501 S Madison St
Appleton, WI 54915
Phone (920) 730-4435

1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950

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

W3985 Highway NN
Elkhorn, WI 53121
Phone (262) 741-2000

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

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

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

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

2301 N Lake Dr
Milwaukee, WI 53211
Phone (414) 270-4932

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

5000 W Chambers St
Milwaukee, WI 53210
Phone (414) 447-2089

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

855 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 451-5643

2700 W 9th Ave
Oshkosh, WI 54904
Phone (920) 223-0220

1414 N Taylor Dr
Sheboygan, WI 53081
Phone (920) 320-2011

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

333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160

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

801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600

Interoperability endpoints

  • Direct secure messaging: mnoor863528@direct.froedtert.com

Organizations & group practices 12

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 7

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": "1240185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639094400000",
    "number": "1881838910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 MAIN ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931625",
            "telephone_number": "808-242-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 MAHALANI ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932526",
            "telephone_number": "808-442-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOOR",
        "first_name": "MAZIN",
        "middle_name": "MAHGOUB",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-20",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WI",
            "license": "56323",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": "HI",
            "license": "MD-18033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mnoor22819@direct.myadvocateaurora.org",
            "affiliation": "N",
            "address_1": "221 Mahalani St",
            "city": "Wailuku",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967932526",
            "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": "221 Mahalani St",
            "city": "Wailuku",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967932526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wailuku, HI

Sources for this page

Verify at the official NPI Registry.