Active NPI
Vishal M Patel
- Interventional Pain Medicine Physician
- De Pere, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 71477-20
- 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, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100090937 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 71477-20 | WI | MD | Pain Medicine (Anesthesiology) Physician |
| MD29439 | ME | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | 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. | Internal Medicine | Current | Accepting new patients |
| Vital Anesthesia Associates SC | Anesthesiology | Current | Accepting new patients |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Alleviate Pain and Spine, SC | Pain Medicine | Current | Accepting new patients |
| Dragonfly Therapy | Past | 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.
-
- Anesthesiology Physician
- Neenah, WI
- NPI 1578422275
-
- Pain Medicine (Anesthesiology) Physician
- De Pere, WI
- NPI 1962217521
-
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
- NPI 1427271378
Internal Medicine
-
- Pain Medicine (Anesthesiology) Physician
- Bangor, ME
- NPI 1306639232
-
- Durable Medical Equipment & Medical Supplies
- Oshkosh, WI
- NPI 1326858044
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Milwaukee, WI
- NPI 1659599157
-
- Obstetrics & Gynecology Physician
- Appleton, WI
- NPI 1417086216
-
- Physical Therapist
- Bangor, ME
- NPI 1134192040
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ascension NE Wisconsin-St Elizabeth Campus
- General Acute Care Hospital
- Appleton, WI
- NPI 1407803638
-
- General Acute Care Hospital
- Oshkosh, WI
- NPI 1275578064
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765411200000",
"number": "1619313475",
"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",
"country_name": "United States",
"address_purpose": "LOCATION",
"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"
}
],
"practiceLocations": [
{
"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": "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": "855 N Westhaven Dr",
"address_purpose": "LOCATION",
"city": "Oshkosh",
"state": "WI",
"postal_code": "549047668",
"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": "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": "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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.