Dr. Hesham M. Elghannam
- Gender: Male
- Experience: 25 years
- Graduation year: 1996
- Sole propriator: No
- NPI: 1023212289
Dr. Hesham M. Elghannam MD
Pulmonologist
He is located at 2424 South 90th Street Suite 300 in West Allis, WI 53227. Can help patients with the following: Bladder Control, Cholecystitis, General Care, Heart Disease, Hiatal Hernia, Obesity. His National Provider Identifier (NPI) number is 1023212289. Appointment can be made via the phone number (414) 328-8150. He is affiliated with 2 practices and 3 hospitals.
Conditions treated
Dr. Hesham M. Elghannam, being an pulmonologist, treats the following conditions. Please be advised that this list may not be complete. For the full list of conditions treated, consult directly with Dr. Hesham M. Elghannam.
- Abdominal Pain
- Acute Pain
- Alpha-1 Antitrypsin Deficiency (AATD)
- Anemia
- Arthritis
- Asbestosis
- Asthma
- Atherosclerosis
- Bladder Control
- Blood Clots
- Bronchiectasis
- Bronchitis
- Chest Pain
- Cholecystitis
- Chronic Cough
- Chronic Obstructive Pulmonary Disease (COPD)
- Collapsed Lung
- Common Cold
- Constipation
- Cryptococcosis
- Cystic Fibrosis (CF)
- Cystitis
- Diarrhea
- Edema
- Embolism
- Emphysema
- Fever
- Gastroesophageal Reflux Disease (GERD)
- General Care
- Headache
- Heart Disease
- Hiatal Hernia
- High Blood Pressure
- Hot Flashes
- Hyperlipidemia
- Hyponatremia
- Influenza
- Inguinal Hernia
- Lung Cancer
- Migraine
- Nausea and Vomiting
- Obesity
- Osteoporosis
- Peptic Ulcer
- Pleural Effusion
- Pleurisy
- Pneumonia
- Prescription Refill
- Pulmonary Aspiration
- Pulmonary Embolism (PE)
- Pulmonary Fibrosis (PF)
- Pulmonary Hypertension (PH)
- Sarcoidosis
- Sleep Apnea
- Sleep Disorders
- Smoking and Quitting Smoking
- Tuberculosis (TB)
- Urethritis
- Urinary Tract Infection (UTI)
Procedures Performed by Dr. Hesham M. Elghannam
ACA Marketplace (Obamacare/HealthCare.gov) plan networks
Insurers selling ACA Marketplace (HealthCare.gov) plans list Dr. Hesham M. Elghannam as in-network for the following 2026 plans.
Health plans
Anthem Blue Cross and Blue Shield
Network data as of Mar 25, 2026, as reported by the insurer.
Show all 18 plans from Anthem Blue Cross and Blue Shield
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) (5 plan variants) | HMO · Expanded Bronze | Participating | Accepting new patients |
| Anthem Bronze Pathway/Lean HSA (+ Incentives) (5 plan variants) | HMO · Expanded Bronze | Participating | Accepting new patients |
| Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) (5 plan variants) | HMO · Expanded Bronze | Participating | Accepting new patients |
| Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) | POS · Expanded Bronze | Participating | Accepting new patients |
| Anthem Bronze Preferred/Broad HSA (+ Incentives) | POS · Expanded Bronze | Participating | Accepting new patients |
| Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS · Expanded Bronze | Participating | Accepting new patients |
| Anthem Gold Pathway/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) (5 plan variants) | HMO · Gold | Participating | Accepting new patients |
| Anthem Gold Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) (5 plan variants) | HMO · Gold | Participating | Accepting new patients |
| Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS · Gold | Participating | Accepting new patients |
| Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS · Gold | Participating | Accepting new patients |
| Anthem Heart Healthy Bronze Pathway/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) (5 plan variants) | HMO · Expanded Bronze | Participating | Accepting new patients |
| Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) | POS · Expanded Bronze | Participating | Accepting new patients |
| Anthem Silver Pathway/Lean 4000 ($0 PCP Visits + $0 Select Drugs + Incentives) (5 plan variants) | HMO · Silver | Participating | Accepting new patients |
| Anthem Silver Pathway/Lean 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) (5 plan variants) | HMO · Silver | Participating | Accepting new patients |
| Anthem Silver Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) (5 plan variants) | HMO · Silver | Participating | Accepting new patients |
| Anthem Silver Preferred/Broad 4000 ($0 PCP Visits + $0 Select Drugs + Incentives) | POS · Silver | Participating | Accepting new patients |
| Anthem Silver Preferred/Broad 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS · Silver | Participating | Accepting new patients |
| Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS · Silver | Participating | Accepting new patients |
Aspirus Health Plan
Network data as of Mar 26, 2024, as reported by the insurer.
Show all 12 plans from Aspirus Health Plan
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| HMO Bronze $0 Medical Deductible | HMO · Expanded Bronze | Aspirussign | Accepting new patients |
| HMO Bronze 10000 | HMO · Bronze | Aspirussign | Accepting new patients |
| HMO Bronze 7500 | HMO · Expanded Bronze | Aspirussign | Accepting new patients |
| HMO Catastrophic 10600 with 3 free PCP visits | HMO · Catastrophic | Aspirussign | Accepting new patients |
| HMO Gold 2000 | HMO · Gold | Aspirussign | Accepting new patients |
| HMO Gold 2700 | HMO · Gold | Aspirussign | Accepting new patients |
| HMO HDHP Silver 5900 | HMO · Silver | Aspirussign | Accepting new patients |
| HMO Silver 6000 | HMO · Silver | Aspirussign | Accepting new patients |
| HMO Silver 6600 | HMO · Silver | Aspirussign | Accepting new patients |
| POS Bronze 7500 | POS · Expanded Bronze | Aspirussign | Accepting new patients |
| POS Bronze 8500 | POS · Bronze | Aspirussign | Accepting new patients |
| POS Silver 6000 | POS · Silver | Aspirussign | Accepting new patients |
CareSource (Common Ground Healthcare)
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 18 plans from CareSource (Common Ground Healthcare)
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| CareSource (Common Ground Healthcare) Bronze $0 Ded / $2500 Rx Ded | EPO · Expanded Bronze | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Bronze $0 Ded / $2500 Rx Ded - Vision Exam | EPO · Expanded Bronze | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Bronze $9600 ($45 PCP Copay) | EPO · Expanded Bronze | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Bronze $9600 ($45 PCP Copay) - Vision Exam | EPO · Expanded Bronze | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Bronze Standard $7500 | EPO · Expanded Bronze | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Bronze Standard $7500 - Vision Exam | EPO · Expanded Bronze | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Gold $0 Ded | EPO · Gold | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Gold $0 Ded - Vision Exam | EPO · Gold | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Gold $3300 | EPO · Gold | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Gold $3300 - Vision Exam | EPO · Gold | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Gold Standard $2000 | EPO · Gold | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Gold Standard $2000 - Vision Exam | EPO · Gold | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Silver $4700 Ded / $5000 Rx Ded | EPO · Silver | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Silver $4700 Ded / $5000 Rx Ded - Vision Exam | EPO · Silver | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Silver $5000 Ded / $6000 Rx Ded | EPO · Silver | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Silver $5000 Ded / $6000 Rx Ded - Vision Exam | EPO · Silver | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Silver Standard $6000 | EPO · Silver | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Silver Standard $6000 - Vision Exam | EPO · Silver | Preferred | Accepting new patients |
HealthPartners
Network data as of Jan 13, 2026, as reported by the insurer.
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Oak $1,300 Gold | PPO · Gold | Network | Accepting new patients |
| Oak $2,000 Standard Gold | PPO · Gold | Network | Accepting new patients |
Quartz
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 57 plans from Quartz
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| QUARTZ GUNDERSEN PERFORMANCE BRONZE $0 MEDICAL DED | HMO · Expanded Bronze | Preferred | Accepting new patients |
| QUARTZ GUNDERSEN PERFORMANCE BRONZE $10,150 DED | HMO · Expanded Bronze | Preferred | Accepting new patients |
| QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $0 MEDICAL DED | HMO · Expanded Bronze | Preferred | Accepting new patients |
| QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $10,150 DED | HMO · Expanded Bronze | Preferred | Accepting new patients |
| QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) STANDARD EASY PRICING | HMO · Expanded Bronze | Preferred | Accepting new patients |
| QUARTZ GUNDERSEN PERFORMANCE BRONZE STANDARD EASY PRICING | HMO · Expanded Bronze | Preferred | Accepting new patients |
| QUARTZ GUNDERSEN PERFORMANCE CATASTROPHIC $10,600 DED | HMO · Catastrophic | Preferred | Accepting new patients |
| QUARTZ GUNDERSEN PERFORMANCE GOLD $4,000 DED | HMO · Gold | Preferred | Accepting new patients |
| QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) $4,000 DED | HMO · Gold | Preferred | Accepting new patients |
| QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) STANDARD EASY PRICING | HMO · Gold | Preferred | Accepting new patients |
| QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE $700 DED | HMO · Gold | Preferred | Accepting new patients |
| QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE (DENTAL & VISION) $700 DED | HMO · Gold | Preferred | Accepting new patients |
| QUARTZ GUNDERSEN PERFORMANCE GOLD STANDARD EASY PRICING | HMO · Gold | Preferred | Accepting new patients |
| QUARTZ GUNDERSEN PERFORMANCE SILVER $8,000 DED | HMO · Silver | Preferred | Accepting new patients |
| QUARTZ GUNDERSEN PERFORMANCE SILVER $9,000 DED | HMO · Silver | Preferred | Accepting new patients |
| QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) $8,000 DED | HMO · Silver | Preferred | Accepting new patients |
| QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) $9,000 DED | HMO · Silver | Preferred | Accepting new patients |
| QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) STANDARD EASY PRICING | HMO · Silver | Preferred | Accepting new patients |
| QUARTZ GUNDERSEN PERFORMANCE SILVER STANDARD EASY PRICING | HMO · Silver | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE $0 MEDICAL DED | HMO · Expanded Bronze | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE $10,150 DED | HMO · Expanded Bronze | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE (DENTAL & VISION) $0 MEDICAL DED | HMO · Expanded Bronze | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE (DENTAL & VISION) $10,150 DED | HMO · Expanded Bronze | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE (DENTAL & VISION) STANDARD EASY PRICING | HMO · Expanded Bronze | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE STANDARD EASY PRICING | HMO · Expanded Bronze | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/GUNDERSEN CATASTROPHIC $10,600 DED | HMO · Catastrophic | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD $4,000 DED | HMO · Gold | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD (DENTAL & VISION) $4,000 DED | HMO · Gold | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD (DENTAL & VISION) STANDARD EASY PRICING | HMO · Gold | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD MAINTENANCE $700 DED | HMO · Gold | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD MAINTENANCE (DENTAL & VISION) $700 DED | HMO · Gold | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD STANDARD EASY PRICING | HMO · Gold | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER $8,000 DED | HMO · Silver | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER $9,000 DED | HMO · Silver | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER (DENTAL & VISION) $8,000 DED | HMO · Silver | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER (DENTAL & VISION) $9,000 DED | HMO · Silver | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER (DENTAL & VISION) STANDARD EASY PRICING | HMO · Silver | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER STANDARD EASY PRICING | HMO · Silver | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/UW HEALTH BRONZE $0 MEDICAL DED | HMO · Expanded Bronze | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/UW HEALTH BRONZE $10,150 DED | HMO · Expanded Bronze | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/UW HEALTH BRONZE (DENTAL & VISION) $0 MEDICAL DED | HMO · Expanded Bronze | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/UW HEALTH BRONZE (DENTAL & VISION) $10,150 DED | HMO · Expanded Bronze | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/UW HEALTH BRONZE (DENTAL & VISION) STANDARD EASY PRICING | HMO · Expanded Bronze | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/UW HEALTH BRONZE STANDARD EASY PRICING | HMO · Expanded Bronze | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/UW HEALTH CATASTROPHIC $10,600 DED | HMO · Catastrophic | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/UW HEALTH GOLD $4,000 DED | HMO · Gold | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/UW HEALTH GOLD (DENTAL & VISION) $4,000 DED | HMO · Gold | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/UW HEALTH GOLD (DENTAL & VISION) STANDARD EASY PRICING | HMO · Gold | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/UW HEALTH GOLD MAINTENANCE $700 DED | HMO · Gold | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/UW HEALTH GOLD MAINTENANCE (DENTAL & VISION) $700 DED | HMO · Gold | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/UW HEALTH GOLD STANDARD EASY PRICING | HMO · Gold | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/UW HEALTH SILVER $8,000 DED | HMO · Silver | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/UW HEALTH SILVER $9,000 DED | HMO · Silver | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/UW HEALTH SILVER (DENTAL & VISION) $8,000 DED | HMO · Silver | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/UW HEALTH SILVER (DENTAL & VISION) $9,000 DED | HMO · Silver | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/UW HEALTH SILVER (DENTAL & VISION) STANDARD EASY PRICING | HMO · Silver | Preferred | Accepting new patients |
| QUARTZ ONE ACHIEVE W/UW HEALTH SILVER STANDARD EASY PRICING | HMO · Silver | Preferred | Accepting new patients |
UnitedHealthcare
Network data as of Sep 16, 2026, as reported by the insurer.
Show all 13 plans from UnitedHealthcare
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) | HMO · Expanded Bronze | Non Preferred | Accepting new patients |
| UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) | HMO · Expanded Bronze | Non Preferred | Accepting new patients |
| UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals) | HMO · Bronze | Non Preferred | Accepting new patients |
| UHC Bronze Standard (No Referrals) | HMO · Expanded Bronze | Non Preferred | Accepting new patients |
| UHC Gold Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) | HMO · Gold | Non Preferred | Accepting new patients |
| UHC Gold Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) | HMO · Gold | Non Preferred | Accepting new patients |
| UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) | HMO · Gold | Non Preferred | Accepting new patients |
| UHC Gold Standard (No Referrals) | HMO · Gold | Non Preferred | Accepting new patients |
| UHC Silver Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) | HMO · Silver | Non Preferred | Accepting new patients |
| UHC Silver Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) | HMO · Silver | Non Preferred | Accepting new patients |
| UHC Silver Standard (No Referrals) | HMO · Silver | Non Preferred | Accepting new patients |
| UHC Silver Value ($0 Virtual Urgent Care, $8 Tier 2 Rx, No Referrals) | HMO · Silver | Non Preferred | Accepting new patients |
| UHC Silver Value+ ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision, No Referrals) | HMO · Silver | Non Preferred | Accepting new patients |
This covers ACA Marketplace plans only, as reported by each insurer. It does not include employer, Medicare Advantage, or state-run exchange plans, and a plan missing from this list does not mean Dr. Hesham M. Elghannam is out of network. Insurer directories can be out of date, so always confirm with the insurer and the office before your visit.
Medicare Enrollment
Dr. Hesham M. Elghannam is enrolled to bill Medicare as a Practitioner - Critical Care (intensivists) (also registered under: Practitioner - Internal Medicine, Practitioner - Pulmonary Disease) .
Bills through: Aurora Medical Group, Inc.
Based on Medicare's public enrollment records as of Jul 17, 2026. This reflects Medicare fee-for-service enrollment only and says nothing about other insurance, quality, outcomes, or board certification.
Payments received
Drug payment
| Genentech | $98 |
| Sunovion Pharmaceuticals | $19 |
Other
| Food and Beverage | $118 |
Studies
Graduated in 1996Additional Specialities
- Internist
Affiliated hospitals
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Questions & Answers
Has Dr. Hesham M. Elghannam affiliation with hospitals?
Dr. Hesham M. Elghannam is affiliated with AURORA ST LUKES MEDICAL CENTER. For the full list of hospitals see this list.
Does Dr. Hesham M. Elghannam accept patients with Aspirus Health Plan?
Yes, Dr. Hesham M. Elghannam is listed in-network for Aspirus Health Plan through the ACA Marketplace (Obamacare/HealthCare.gov). See the Marketplace plans section for details.
What conditions does Dr. Hesham M. Elghannam treat?
Dr. Hesham M. Elghannam provides treatment for Bladder Control, Cholecystitis, General Care, Heart Disease, Hiatal Hernia, Obesity. For the full list see this list.
Where can you meet with Dr. Hesham M. Elghannam?
Dr. Hesham M. Elghannam's office is located at 2424 South 90th Street Suite 300 in West Allis, WI 53227.
Does Dr. Hesham M. Elghannam have affiliation with practices?
Dr. Hesham M. Elghannam is affiliated with Rockwood Clinic PS. For the full list of practices see this list.