Individual provider Active NPI

Vishal M Patel

  • Interventional Pain Medicine Physician
  • De Pere, WI
National Provider Identifier
1619313475
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
71477-20 Issued in WI
Practice address
1716 Lawrence Dr Ste 103
De Pere, WI 54115-9108
Phone
(920) 632-6800
Fax
(920) 632-6806
NPI assigned
May 20, 2013
Last updated
Dec 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 71477-20 WI
Interventional Pain Medicine Physician 208VP0014X MD29439 ME
Interventional Pain Medicine Physician 208VP0014X 71477-20 WI Primary

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

2130 S Washburn St
Oshkosh, WI 54904-8949
Phone (920) 632-6800

Other practice location 2

614 Memorial Dr
Chilton, WI 53014-1568
Phone (920) 632-6800

Other practice location 3

855 N Westhaven Dr
Oshkosh, WI 54904-7668
Phone (920) 632-6800

Other practice location 4

1506 S Oneida St
Appleton, WI 54915-1305
Phone (920) 632-6800

Other practice location 5

2700 W 9th Ave Ste 305
Oshkosh, WI 54904-7865
Phone (920) 632-6800

Other practice location 6

360 Broadway
Bangor, ME 04401-3900
Phone (207) 830-2739

Other practice location 7

498 Essex St Ste 102
Bangor, ME 04401-3990
Phone (207) 830-2739

Other practice location 8

501 Doctors Ct
Oshkosh, WI 54901-2025
Phone (920) 632-6800

Other practice location 9

1540 Lyon Dr
Neenah, WI 54956-5035
Phone (920) 632-6800

Other practice location 10

700 N Westhaven Dr
Oshkosh, WI 54904-6947
Phone (920) 632-6800

Other practice location 11

500 S Oakwood Rd
Oshkosh, WI 54904-7944
Phone (920) 632-6800

Other practice location 12

1501 S Madison St
Appleton, WI 54915-1846
Phone (920) 632-6800

Other practice location 13

451 E Brooklyn St Ste 1
Chilton, WI 53014-1595
Phone (920) 632-6800

Other identifiers 1

IdentifierTypeStateIssuer
100090937MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, ME2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190726001130 WI Practitioner - Anesthesiology 2668612938 Reassigns benefits to 3 organizations
I20250814000673 ME Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 2668612938 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Alleviate Pain and Spine, SCGroup PAC ID 9436670916, 8 clinicians
Vital Anesthesia Associates SCGroup PAC ID 0840771150, 2 clinicians
Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians

Practice addresses (Care Compare)

1716 Lawrence Dr
Suite 103
De Pere, WI 54115-9108
Phone (920) 276-8600

2120 S Washburn St
Oshkosh, WI 54904-8949
Phone (920) 632-6800

855 N Westhaven Dr
Oshkosh, WI 54904-7668
Phone (920) 303-8700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71477-20WIMDPain Medicine (Anesthesiology) Physician
MD29439MEMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Interventional Pain Specialists PC Pain Medicine CurrentSince Jul 1, 2025 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Aug 19, 2019 Accepting new patients
Aurora Medical Group, Inc. Internal Medicine Current Accepting new patients
Vital Anesthesia Associates SC Anesthesiology CurrentSince Feb 1, 2026 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Aug 19, 2019 Accepting new patients
Alleviate Pain and Spine, SC Pain Medicine CurrentSince Jan 1, 2025 Accepting new patients
Dragonfly Therapy PastSince May 1, 2006 Accepting new patients
Women's Health Specialists, S.C. Past Accepting new patients

Locations

360 Broadway
Bangor, ME 04401
Phone (207) 262-1703

498 Essex St
Ste 102
Bangor, ME 04401
Phone (207) 830-2739

840 Hammond St
Ste 2
Bangor, ME 04401
Phone (207) 300-4027

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

3301 W Forest Home Ave
Milwaukee, WI 53215
Phone (414) 389-2233

1540 Lyon Dr
Neenah, WI 54956
Phone (920) 727-4946

2120 S Washburn St
Oshkosh, WI 54904
Phone (920) 236-3550

2130 S Washburn St
Oshkosh, WI 54904
Phone (920) 232-6550

2700 W 9th Ave
Ste 305
Oshkosh, WI 54904
Phone (920) 223-3500

500 S Oakwood Rd
Oshkosh, WI 54904
Phone (920) 223-0501

501 Doctors Ct
Oshkosh, WI 54901
Phone (608) 829-7777

700 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 456-2030

855 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 451-5643

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

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    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1619313475",
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            "city": "DE PERE",
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        },
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    ],
    "practiceLocations": [
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            "address_1": "2130 S Washburn St",
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        },
        {
            "address_1": "1506 S Oneida St",
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            "postal_code": "549151305",
            "country_code": "US",
            "telephone_number": "920-632-6800",
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            "country_name": "United States",
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        {
            "address_1": "2700 W 9th Ave Ste 305",
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            "postal_code": "549047865",
            "country_code": "US",
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            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "360 Broadway",
            "address_purpose": "LOCATION",
            "city": "Bangor",
            "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": "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": "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": "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": "700 N Westhaven Dr",
            "address_purpose": "LOCATION",
            "city": "Oshkosh",
            "state": "WI",
            "postal_code": "549046947",
            "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": "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"
        },
        {
            "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"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "VISHAL",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-20",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "WI",
            "license": "71477-20",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "ME",
            "license": "MD29439",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "WI",
            "license": "71477-20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100090937",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in De Pere, WI

Sources for this page

Verify at the official NPI Registry.