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

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.

Hospital & facility affiliations 1

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

Medicare Care Compare profile

Specialty
Pain Management
Also: Anesthesiology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alleviate Pain and Spine, SC (8 clinicians)
Aurora Medical Group, Inc. (3,764 clinicians)

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 Hospital · Oshkosh, WI · CCN 520198

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 IDStateProvider typePAC IDDetails
I20180703000125 WI Practitioner - Pain Management
Practitioner - Anesthesiology
6406127463 Reassigns benefits to 3 organizations
I20250814000301 ME Practitioner - Interventional Pain Management
Practitioner - Anesthesiology
6406127463 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD29435MEMDInterventional Pain Medicine Physician
68012-20WIMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alleviate Pain and Spine, SC Pain Medicine Current
since Apr 1, 2025
Accepting new patients
Apex Interventional Pain Specialists PC Pain Medicine Current
since Apr 17, 2025
Accepting new patients
Aurora Medical Group, Inc. Current
since Jul 2, 2018
Accepting new patients
Aurora Medical Group, Inc. Current
since Jul 2, 2018
Accepting new patients
Vital Anesthesia Associates SC Anesthesiology Current
since Jan 1, 2026
Accepting new patients
Dragonfly Therapy Past
since May 1, 2006
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

  • Direct secure messaging: maman200073@direct.myadvocateaurora.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100078413MedicaidWI

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 11, 2025.

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1487094074",
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    "practiceLocations": [
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        {
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            "country_name": "United States",
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        {
            "address_1": "500 S Oakwood Rd",
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            "country_code": "US",
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            "fax_number": "920-632-6806",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 Doctors Ct",
            "address_purpose": "LOCATION",
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            "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",
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            "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"
        },
        {
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            "postal_code": "044013990",
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            "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",
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            "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",
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            "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",
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        },
        {
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        },
        {
            "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

All providers in De Pere, WI · Anesthesiology Physician in Wisconsin

Sources for this page

Verify at the official NPI Registry.