Hesham Elghannam, MD
NPI 1023212289 · Pulmonary Disease Physician · West Allis, WI
Enrolled with Medicare as Practitioner - Critical Care (intensivists) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Hesham Elghannam, MD is a Pulmonary Disease Physician provider in West Allis, WI (NPI 1023212289).
Provider details
- NPI number
- 1023212289
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 61317 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
963 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 313 | $104 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 262 | $118 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 66 | $157 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 47 | $152 |
| Test to Examine How Well the Lungs Exchange Gases94729 | 41 | $49 |
| Test to Determine Lung Volumes Using Sensors94726 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 25 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 548 | 101 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 401 | 141 |
| Umeclidinium Brm/Vilanterol Trbrand: Anoro Ellipta | 265 | 36 |
| Fluticasone/Vilanterolbrand: Breo Ellipta | 208 | 49 |
| Montelukast Sodium | 160 | 44 |
| Budesonide/Formoterol Fumaratebrand: Symbicort | 145 | 36 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$77 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 8905 W Lincoln Ave Ste 401West Allis, WI 53227-2469Phone: (414) 328-8270Fax: (509) 755-6580
Registry dates
- Enumerated
- 2007-06-12
- Last updated
- 2023-06-26
- Certified
- 2023-06-26
Frequently asked questions
- What is Hesham Elghannam's NPI number?
- Hesham Elghannam's National Provider Identifier (NPI) is 1023212289, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Hesham Elghannam's specialty?
- Hesham Elghannam is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Hesham Elghannam located?
- Hesham Elghannam's practice location on file with NPPES is 2424 S 90th St Ste 300, West Allis, WI 53227-2455.
- What is Hesham Elghannam's phone number?
- The practice phone number listed in the NPPES registry for Hesham Elghannam is (414) 328-8150.
- Does Hesham Elghannam accept Medicare?
- Hesham Elghannam is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Hesham Elghannam's NPI active?
- Yes — Hesham Elghannam's NPI (1023212289) is active in the NPPES registry as of the last update on 2023-06-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.