NPIMap

Individual provider Active NPI

Hamayun Saeed Mian, M.D.

  • Urology Physician
  • De Pere, WI
National Provider Identifier
1124020870
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
46435 Issued in WI
Practice address
1385 W Main Ave
De Pere, WI 54115-9366
Phone
(920) 433-9400
Fax
(920) 455-9409
NPI assigned
Aug 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 46435 WI Primary

Addresses

Primary practice location

1385 W Main Ave
De Pere, WI 54115-9366

Mailing address

1385 W Main Ave
De Pere, WI 54115-9366
Phone (920) 433-9400

Other practice location 1

700 S Park St
Madison, WI 53715-1830
Phone (608) 251-6100

Other practice location 2

2720 Cahill Rd
Marinette, WI 54143-3892
Phone (715) 732-3420

Other identifiers 4

IdentifierTypeStateIssuer
4743917MedicaidMI
3402210611OtherMIBLUE CROSS MI
34481800MedicaidWI
1124020870MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address hmian440980@direct-ehr-ssmhc.com Direct
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040721000782 WI Practitioner - Urology 3072592047 Reassigns benefits to 4 organizations
I20050613001078 MI Practitioner - Urology 3072592047

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Hahnemann University College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Health System CorporationGroup PAC ID 7416860440, 749 clinicians
Urology Associates of Green Bay SCGroup PAC ID 1658350616, 12 clinicians
Aspirus Medical Group, Inc.Group PAC ID 1052223625, 272 clinicians
DLP Marquette Physician Practices IncGroup PAC ID 9931359601, 193 clinicians

Practice addresses (Care Compare)

1000 Mineral Point Ave
Janesville, WI 53548-2940
Phone (608) 756-6000

1385 W Main Ave
De Pere, WI 54115-9366
Phone (920) 433-9400

2720 Cahill Rd
Marinette, WI 54143-3892
Phone (920) 433-9400

3300 Westhill Dr
Wausau, WI 54401-4710
Phone (715) 847-2605

720 S Van Buren St
Suite 301
Green Bay, WI 54301-3534

820 Arbutus Ave
Oconto, WI 54153-2004
Phone (920) 433-9400

850 W Baraga Ave
Marquette, MI 49855-4550
Phone (906) 449-3360

Hospital & facility affiliations

  • Bellin Memorial Hospital Hospital, Green Bay, WI, CCN 520049
  • Bellin Health Oconto Hospital Hospital, Oconto, WI, CCN 521356
  • Mercy Health System Corp Hospital, Janesville, WI, CCN 520066
  • Aspirus Wausau Hospital Hospital, Wausau, WI, CCN 520030
  • Uphs Marquette DLP Hospital Hospital, Marquette, MI, CCN 230054

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46435WIMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dean Health Systems, Inc. CurrentSince Jan 6, 2023 Accepting new patients
Urology Associates of Green Bay, S.C. Specialist CurrentSince Feb 1, 2004 Accepting new patients
Mercy Health System Corporation CurrentSince Oct 1, 2021 Accepting new patients
Mercy Health System Corporation CurrentSince Oct 1, 2021 Accepting new patients
Dean Health Systems, Inc CurrentSince Jan 6, 2023 Accepting new patients
Urology Associates of Green Bay, SC Past Accepting new patients

Locations

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

1300 W Ice Lake Rd
Iron River, MI 49935
Phone (906) 265-8189

1385 W Main Ave
De Pere, WI 54115

720 S Van Buren St
Green Bay, WI 54301
Phone (920) 430-7100

720 S Van Buren St
Ste 301
Green Bay, WI 54301
Phone (920) 433-9000

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

700 S Park St
Madison, WI 53715
Phone (608) 260-2900

3415 Custer St
Ste D
Manitowoc, WI 54220
Phone (920) 652-9310

2720 Cahill Rd
Marinette, WI 54143
Phone (715) 732-3420

515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000

820 Arbutus Ave
Oconto, WI 54153
Phone (920) 835-1100

Interoperability endpoints

  • Direct secure messaging: hmian1085629@direct.emplifyhealth.org
  • Direct secure messaging: hmian32928@direct.thedacare.org
  • Direct secure messaging: hmian440980@direct-ehr-ssmhc.com

Organizations & group practices 25

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.

View all 25

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1124020870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1385 W MAIN AVE",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541159366",
            "telephone_number": "920-433-9400",
            "fax_number": "920-433-9409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 W MAIN AVE",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541159366",
            "telephone_number": "920-433-9400",
            "fax_number": "920-455-9409"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 S Park St",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537151830",
            "country_code": "US",
            "telephone_number": "608-251-6100",
            "fax_number": "608-824-4671",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2720 Cahill Rd",
            "address_purpose": "LOCATION",
            "city": "Marinette",
            "state": "WI",
            "postal_code": "541433892",
            "country_code": "US",
            "telephone_number": "715-732-3420",
            "fax_number": "715-732-3425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIAN",
        "first_name": "HAMAYUN",
        "middle_name": "SAEED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "WI",
            "license": "46435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4743917",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS MI",
            "identifier": "3402210611",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34481800",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124020870",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hmian440980@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "hmian440980@direct-ehr-ssmhc.com",
            "address_1": "700 S Park St",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537151830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "700 S Park St",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537151830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in De Pere, WI

Sources for this page

Verify at the official NPI Registry.