Mansoor Mohammad Aman, M.D.
Individual provider Active NPI Anesthesiology Physician · De Pere, WI
NPI 1487094074 · NPPES record last updated Dec 11, 2025
Key facts
- NPI
- 1487094074
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 68012-20 (WI)
- Practice address
- 1716 Lawrence Dr Ste 103
De Pere, WI 54115-9108 - Phone
- (920) 632-6800
- Fax
- (920) 632-6806
- NPI assigned
- Jun 27, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Pain Management
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Alleviate Pain and Spine, SC
Aurora Medical Group, Inc.
Practice addresses (Care Compare)
1716 Lawrence Dr
Suite 103
De Pere, WI 54115-9108
Phone (920) 276-8600
855 S Main St
Oconto Falls, WI 54154-1241
Phone (920) 846-4581
Hospital & facility affiliations
- Aurora Medical Ctr Oshkosh
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WI, ME
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180703000125 | WI | Practitioner - Pain Management |
6406127463 | Reassigns benefits to 3 organizations |
| I20250814000301 | ME | Practitioner - Interventional Pain Management |
6406127463 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD29435 | ME | MD | Interventional Pain Medicine Physician |
| 68012-20 | WI | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alleviate Pain and Spine, SC | Pain Medicine | Current |
Accepting new patients |
| Apex Interventional Pain Specialists PC | Pain Medicine | Current |
Accepting new patients |
| Aurora Medical Group, Inc. | Current |
Accepting new patients | |
| Aurora Medical Group, Inc. | Current |
Accepting new patients | |
| Vital Anesthesia Associates SC | Anesthesiology | Current |
Accepting new patients |
| Dragonfly Therapy | Past |
Accepting new patients |
Locations
498 Essex St
Ste 102
Bangor, ME 04401
Phone (207) 830-2739
840 Hammond St
Ste 2
Bangor, ME 04401
Phone (207) 300-4027
360 Broadway
Bangor, ME 04401
Phone (207) 262-1703
1501 S Madison St
Appleton, WI 54915
Phone (920) 730-4435
1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950
451 E Brooklyn St
Ste 1
Chilton, WI 53014
Phone (920) 276-8600
614 Memorial Dr
Chilton, WI 53014
Phone (800) 458-4042
1716 Lawrence Dr
#103
De Pere, WI 54115
Phone (920) 276-8600
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
1540 Lyon Dr
Neenah, WI 54956
Phone (920) 727-4946
855 S Main St
Oconto Falls, WI 54154
Phone (920) 846-3444
500 S Oakwood Rd
Oshkosh, WI 54904
Phone (920) 223-0501
855 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 451-5643
501 Doctors Ct
Oshkosh, WI 54901
Phone (608) 829-7777
2120 S Washburn St
Oshkosh, WI 54904
Phone (920) 236-3550
2700 W 9th Ave
Ste 305
Oshkosh, WI 54904
Phone (920) 223-3500
2130 S Washburn St
Oshkosh, WI 54904
Phone (920) 232-6550
900 E Division St
Wautoma, WI 54982
Phone (920) 787-0837
Interoperability endpoints
- maman200073@direct.myadvocateaurora.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | 68012-20 | WI | |
| Anesthesiology Physician | 207L00000X | 68012-20 | WI | Yes |
| Anesthesiology Physician | 207L00000X | MD29435 | ME | |
| Interventional Pain Medicine Physician | 208VP0014X | MD29435 | ME |
Addresses
Primary practice location
1716 Lawrence Dr Ste 103
De Pere, WI 54115-9108
Mailing address
1716 Lawrence Dr Ste 103
De Pere, WI 54115-9108
Phone (920) 632-6800
Other practice location 1
614 Memorial Dr
Chilton, WI 53014-1568
Phone (920) 632-6800
Other practice location 2
360 Broadway
Bangor, ME 04401-3900
Phone (207) 830-2739
Other practice location 3
2130 S Washburn St
Oshkosh, WI 54904-8949
Phone (920) 632-6800
Other practice location 4
1540 Lyon Dr
Neenah, WI 54956-5035
Phone (920) 632-6800
Other practice location 5
500 S Oakwood Rd
Oshkosh, WI 54904-7944
Phone (920) 632-6800
Other practice location 6
501 Doctors Ct
Oshkosh, WI 54901-2025
Phone (920) 632-6800
Other practice location 7
451 E Brooklyn St Ste 1
Chilton, WI 53014-1595
Phone (920) 632-6800
Other practice location 8
498 Essex St Ste 102
Bangor, ME 04401-3990
Phone (207) 830-2739
Other practice location 9
2700 W 9th Ave Ste 305
Oshkosh, WI 54904-7865
Phone (920) 632-6800
Other practice location 10
1506 S Oneida St
Appleton, WI 54915-1305
Phone (920) 632-6800
Other practice location 11
1501 S Madison St
Appleton, WI 54915-1846
Phone (920) 632-6800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100078413 | Medicaid | WI |
NPI Registry JSON
{
"created_epoch": "1372291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765411200000",
"number": "1487094074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1716 LAWRENCE DR STE 103",
"city": "DE PERE",
"state": "WI",
"postal_code": "541159108",
"telephone_number": "920-632-6800",
"fax_number": "920-632-6806"
},
{
"country_code": "US",
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"address_1": "1716 LAWRENCE DR STE 103",
"city": "DE PERE",
"state": "WI",
"postal_code": "541159108",
"telephone_number": "920-632-6800",
"fax_number": "920-632-6806"
}
],
"practiceLocations": [
{
"address_1": "614 Memorial Dr",
"address_purpose": "LOCATION",
"city": "Chilton",
"state": "WI",
"postal_code": "530141568",
"country_code": "US",
"telephone_number": "920-632-6800",
"fax_number": "920-632-6806",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "360 Broadway",
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"state": "ME",
"postal_code": "044013900",
"country_code": "US",
"telephone_number": "207-830-2739",
"fax_number": "888-355-6416",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2130 S Washburn St",
"address_purpose": "LOCATION",
"city": "Oshkosh",
"state": "WI",
"postal_code": "549048949",
"country_code": "US",
"telephone_number": "920-632-6800",
"fax_number": "920-632-6806",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1540 Lyon Dr",
"address_purpose": "LOCATION",
"city": "Neenah",
"state": "WI",
"postal_code": "549565035",
"country_code": "US",
"telephone_number": "920-632-6800",
"fax_number": "920-632-6806",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 S Oakwood Rd",
"address_purpose": "LOCATION",
"city": "Oshkosh",
"state": "WI",
"postal_code": "549047944",
"country_code": "US",
"telephone_number": "920-632-6800",
"fax_number": "920-632-6806",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "501 Doctors Ct",
"address_purpose": "LOCATION",
"city": "Oshkosh",
"state": "WI",
"postal_code": "549012025",
"country_code": "US",
"telephone_number": "920-632-6800",
"fax_number": "920-632-6806",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "451 E Brooklyn St Ste 1",
"address_purpose": "LOCATION",
"city": "Chilton",
"state": "WI",
"postal_code": "530141595",
"country_code": "US",
"telephone_number": "920-632-6800",
"fax_number": "920-632-6806",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "498 Essex St Ste 102",
"address_purpose": "LOCATION",
"city": "Bangor",
"state": "ME",
"postal_code": "044013990",
"country_code": "US",
"telephone_number": "207-830-2739",
"fax_number": "888-355-6416",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2700 W 9th Ave Ste 305",
"address_purpose": "LOCATION",
"city": "Oshkosh",
"state": "WI",
"postal_code": "549047865",
"country_code": "US",
"telephone_number": "920-632-6800",
"fax_number": "920-632-6806",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1506 S Oneida St",
"address_purpose": "LOCATION",
"city": "Appleton",
"state": "WI",
"postal_code": "549151305",
"country_code": "US",
"telephone_number": "920-632-6800",
"fax_number": "920-632-6806",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1501 S Madison St",
"address_purpose": "LOCATION",
"city": "Appleton",
"state": "WI",
"postal_code": "549151846",
"country_code": "US",
"telephone_number": "920-632-6800",
"fax_number": "920-632-6806",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AMAN",
"first_name": "MANSOOR",
"middle_name": "MOHAMMAD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-27",
"last_updated": "2025-12-11",
"certification_date": "2025-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "WI",
"license": "68012-20",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WI",
"license": "68012-20",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "ME",
"license": "MD29435",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "ME",
"license": "MD29435",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100078413",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in De Pere, WI
- Advanced Alternative Health Center LLC
- Advantage Medical Inc
- Agapes Acupuncture, SC
- Alleviate Pain and Spine, SC
- Maya Alvarado
- Amy Anderson
- Monalei Lynn Anderson
- Kara Andre
- Andrews Physical Therapy, SC
- Eliza Maria Teresa Andrews
All providers in De Pere, WI · Anesthesiology Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.