Active NPI
William L Hingtgen, MD
- Diagnostic Radiology Physician
- Green Bay, WI
National Provider Identifier
1043256159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 27666020
- Practice address
- 1789 Shawano
Green Bay, WI 54303 - Phone
- (920) 499-1428
- Fax
- (920) 499-5808
- NPI assigned
- Jun 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 27666020 | WI | Primary |
Addresses
Primary practice location
1789 Shawano
Green Bay, WI 54303
Mailing address
PO Box 3006
Green Bay, WI 54303
Phone (920) 499-1428
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 070050005 | Other | WI | MEDICARE PTAN |
| 1018688002 | Other | UNITED HC AMERICHOICE | |
| 1018688003 | Other | UNITED HC AMERICHOICE | |
| 300020917 | Other | RR MEDICARE | |
| 4767202 | Medicaid | MI | |
| P00028701 | Other | RR MEDICARE | |
| 14099 | Other | DEAN HEALTH | |
| 1997675 | Medicaid | MI | |
| 567565 | Other | DEAN HEALTH | |
| 072730004 | Other | WI | MEDICARE PTAN |
| 30726300 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27666020 | WI | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiology Chartered | Diagnostic Radiology | Current | Accepting new patients |
| CT Imaging LLC | Diagnostic Radiology | Past | Accepting new patients |
Locations
744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025
740 S Van Buren St
Green Bay, WI 54301
Phone (920) 433-3411
1241 Lombardi Access Rd
Green Bay, WI 54304
Phone (920) 431-7120
1789 Shawano Ave
Green Bay, WI 54303
Organizations & group practices 2
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.
-
- Diagnostic Radiology Physician
- Green Bay, WI
- NPI 1760416895
-
- Diagnostic Radiology Physician
- Green Bay, WI
- NPI 1821023961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789257600000",
"number": "1043256159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3006",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "54303",
"telephone_number": "920-499-1428",
"fax_number": "920-499-5808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1789 SHAWANO",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "54303",
"telephone_number": "920-499-1428",
"fax_number": "920-499-5808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINGTGEN",
"first_name": "WILLIAM",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-20",
"last_updated": "2026-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WI",
"license": "27666020",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "070050005",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HC AMERICHOICE",
"identifier": "1018688002",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HC AMERICHOICE",
"identifier": "1018688003",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "300020917",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4767202",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00028701",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEAN HEALTH",
"identifier": "14099",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1997675",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEAN HEALTH",
"identifier": "567565",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "072730004",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30726300",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.