NPIMap

Individual provider Active NPI

Pavel Guigauri, MD

  • Interventional Cardiology Physician
  • Wausau, WI
National Provider Identifier
1801874094
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
46636 Issued in WI
Practice address
500 Wind Ridge Dr
Wausau, WI 54401-4173
Phone
(715) 847-2611
Fax
(715) 847-2465
NPI assigned
Jan 6, 2006
Last updated
Jan 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 46636 WI Primary

Addresses

Primary practice location

500 Wind Ridge Dr
Wausau, WI 54401-4173

Mailing address

500 Wind Ridge Dr
Wausau, WI 54401-4173
Phone (715) 847-2611

Other identifiers 1

IdentifierTypeStateIssuer
34508800MedicaidWI

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
I20040824000133 WI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Interventional Cardiology 5496729683 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1984
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
Aspirus Medford Hospital and Clinics IncGroup PAC ID 5799688602, shared by 9 NPIs, 126 clinicians

Practice addresses (Care Compare)

110 E 5TH Ave
Antigo, WI 54409-2710
Phone (715) 675-2321

112 E 5TH Ave
Antigo, WI 54409-2710
Phone (715) 623-2331

2225 N Shore Dr
Rhinelander, WI 54501-8360
Phone (715) 361-5482

2275 N Shore Dr
Rhinelander, WI 54501-8360
Phone (715) 361-5482

240 Maple St
Woodruff, WI 54568-9190
Phone (715) 356-8140

320 E Main St
Gilman, WI 54433-9674
Phone (715) 447-8293

4005 Community Ctr Dr
Weston, WI 54476-4139
Phone (715) 241-5400

500 Wind Ridge Dr
Wausau, WI 54401-4173
Phone (715) 847-2611

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.53 of 100Reported as group
Quality
77.62
Promoting interoperability
100
Improvement activities
40
Cost
78.08

Merit-based Incentive Payment System (MIPS)

Final score
86.2 of 100Reported as group
Quality
84.08
Promoting interoperability
100
Improvement activities
40
Cost
64.31

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting67
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Divine Savior Healthcare, Inc. CurrentSince Mar 10, 2024 Accepting new patients
Aspirus Wausau Hospital, Inc. CurrentSince Aug 1, 2014 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. Current Accepting new patients
Aspirus Wausau Hospital, Inc. CurrentSince Aug 1, 2014 Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince Mar 10, 2024 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. CurrentSince Mar 24, 2020 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. Current Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Jan 1, 2018 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. CurrentSince Mar 24, 2020 Accepting new patients
Aspirus Wausau Hospital, Inc. Current Accepting new patients
Aspirus Medical Group, Inc. Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

205 Osceola St
Laurium, MI 49913
Phone (906) 337-3100

112 E 5th Ave
Antigo, WI 54409
Phone (715) 623-2331

501 Aurora St
Antigo, WI 54409
Phone (715) 623-2331

135 S Gibson St
Medford, WI 54451
Phone (715) 748-8100

2817 New Pinery Rd
Portage, WI 53901
Phone (608) 745-4598

2720 Plaza Dr
Ste 1400A
Wausau, WI 54401
Phone (715) 847-0426

333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160

500 Wind Ridge Dr
Wausau, WI 54401

520 N 28th Ave
Wausau, WI 54401
Phone (715) 843-1058

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

2031 Peach St
Wisconsin Rapids, WI 54494
Phone (715) 423-0122

Interoperability endpoints

  • Direct secure messaging: pguigauri15067@direct.aspirus.org

Organizations & group practices 12

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 33

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

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1801874094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 WIND RIDGE DR",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014173",
            "telephone_number": "715-847-2611",
            "fax_number": "715-847-2465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 WIND RIDGE DR",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014173",
            "telephone_number": "715-847-2611",
            "fax_number": "715-847-2465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUIGAURI",
        "first_name": "PAVEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "WI",
            "license": "46636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34508800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

Verify at the official NPI Registry.