HIND MIRZA GAUTAM MD
NPI 1316950504
Pain Medicine - Interventional Pain Medicine in De Pere, WI

Q: What is Hind Gautam's NPI number?

The NPI number for Hind Gautam is 1316950504. It was assigned to this individual provider in the NPPES registry on August 15, 2006. The provider is also known as Hind A Mirza MD.

Q: What is Hind Gautam's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Q: When was this NPI record last updated?

The NPPES record for Hind Gautam was last updated on January 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 15, 2006PECOS EnrolledAccepts Medicare Assignment

1881 CHICAGO ST, DE PERE, WI 54115(920) 403-8000 Get Directions Write a Review

NPPES record last updated: January 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 19, 2021, Nov 25, 2019 (2 updates tracked since 2019).

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About Hind Mirza Gautam Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HIND MIRZA GAUTAM MD (NPI 1316950504) is an individual interventional pain medicine provider in De Pere, Wisconsin, licensed in Wisconsin (49944) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Aurora Baycare Medical Ctr, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1316950504

Entity TypeIndividualFemale

Primary Taxonomy208VP0014X

Provider Legal NameHIND MIRZA GAUTAMCredential: MD

Location Address1881 CHICAGO STDe Pere, WI 54115-3770

Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250

Phone(920) 403-8000

Sole ProprietorNo

Medical School CMSOtherGraduated 1997

Enumeration DateAugust 15, 2006

Last NPPES UpdateJanuary 8, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 8, 2024

✔ NPI 1316950504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code208VP0014X

License✔ Licensed in WI · 49944

Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

1881 CHICAGO ST, De Pere, WI 54115

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Other Names 1

Former Name (1)Hind A Mirza Md

Other Identifiers 1

Medicaid34748200WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Hind Mirza Gautam Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991807075

PECOS Enrollment IDI20070220000299

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

119 services50 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

100 services13 patients

Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance 27096

This procedure involves injecting medicine into the joint where your lower spine meets your hip bone. Using special imaging technology, the doctor ensures the medicine is delivered accurately. This can help reduce pain and inflammation in that area.

39 services27 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

35 services24 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

22 services22 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Aurora Baycare Medical Ctr

Acute Care Hospitals · Green Bay, WI

5/5 CMS rating

OwnershipProprietary

CMS Certification Number520193

Location2845 Greenbrier RdGreen Bay, WI 54311 · Brown County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54115 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MANISHA CHATURVEDI MD

Family Medicine

1881 CHICAGO ST
DE PERE, WI 54115

Brown County (920) 403-8000

DR. JESUSA S ANDRES-PALINES MD

Internal Medicine

1881 CHICAGO ST
DEPERE, WI 54115

Brown County (920) 403-8000

DR. ABHILASH R VAISHNAV MD

Internal Medicine (Allergy & Immunology)

1881 CHICAGO ST
DE PERE, WI 54115

Brown County (920) 403-8000

DR. JENNIFER L HOYER MD

Pediatrics

1881 CHICAGO ST
DEPERE, WI 54115

Brown County (920) 403-8000

YOLOXOCHITL DIAZ MD

Pediatrics

1881 CHICAGO ST
DE PERE, WI 54115

Brown County (920) 403-8000

DR. INDIRA P ANDHOLE MD

Pediatrics

1881 CHICAGO ST
DEPERE, WI 54115

Brown County (920) 403-8000

DR. RONALD E ROUP MD

Pediatrics

1881 CHICAGO ST
DEPERE, WI 54115

Brown County (920) 403-8000

AURORA PHARMACY INC

Pharmacy

1881 CHICAGO ST
DE PERE, WI 54115

Brown County (920) 403-8050

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hind Gautam's NPI number?

The NPI number for Hind Gautam is 1316950504. It was assigned to this individual provider in the NPPES registry on August 15, 2006. The provider is also known as Hind A Mirza MD.

Where is Hind Gautam located?

Hind Gautam practices at 1881 Chicago St, De Pere, WI 54115. The listed phone number is (920) 403-8000.

What is Hind Gautam's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Hind Gautam enrolled in Medicare?

Yes. Hind Gautam is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Hind Gautam accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Quartz list Hind Gautam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Hind Gautam affiliated with any hospitals?

According to CMS data, Hind Gautam is affiliated with Aurora Baycare Medical Ctr.

When was this NPI record last updated?

The NPPES record for Hind Gautam was last updated on January 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.