NPIMap

Individual provider Active NPI

Panupong Hansrivijit, M.D., M.P.H.

  • Nephrology Physician
  • Wausau, WI
National Provider Identifier
1558824870
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
84734-20 Issued in WI
Practice address
3300 Westhill Dr
Wausau, WI 54401-4710
Phone
(715) 847-2371
NPI assigned
Apr 12, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 84734-20 WI Primary

Addresses

Primary practice location

3300 Westhill Dr
Wausau, WI 54401-4710

Mailing address

3300 Westhill Dr
Wausau, WI 54401-4710
Phone (715) 847-2371

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250903002951 WI Practitioner - NephrologyPractitioner - Internal Medicine 2860729993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspirus Medical Group, Inc.Group PAC ID 1052223625, 272 clinicians
Aspirus Rhinelander and Tomahawk Hospitals and Clinics, Inc.Group PAC ID 9335059856, shared by 17 NPIs, 566 clinicians

Practice addresses (Care Compare)

3200 Westhill Dr
Suite 2500
Wausau, WI 54401-4754
Phone (715) 847-3200

824 Illinois Ave
Stevens Point, WI 54481-3112
Phone (715) 344-1600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
84734-20WIMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Medical Group, Inc. Nephrology CurrentSince Jul 24, 2025 Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Jul 24, 2025 Accepting new patients
Aspirus Medical Group, Inc. Current Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

333 Pine Ridge Blvd
Ste 185
Wausau, WI 54401
Phone (715) 847-0477

3200 Westhill Dr
Ste 2500
Wausau, WI 54401
Phone (715) 847-0032

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

4005 Community Center Dr
Weston, WI 54476
Phone (715) 241-5400

Interoperability endpoints

  • Direct secure messaging: phansrivijit378786@direct.aspirus.org
  • Direct secure messaging: phansrivijit871442@direct.hopkinsmedicine.org

Organizations & group practices 4

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 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1555027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1558824870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 WESTHILL DR",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014710",
            "telephone_number": "715-847-2371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 WESTHILL DR",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014710",
            "telephone_number": "715-847-2371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSRIVIJIT",
        "first_name": "PANUPONG",
        "name_prefix": "Mr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-12",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WI",
            "license": "84734-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

Verify at the official NPI Registry.