1. Home
  2. Directory
  3. Wisconsin
  4. Milwaukee
  5. Surgery
  6. NPI Profile

MR. DAVID M. GOURLAY M.D.
NPI 1740221092
Surgery - Pediatric Surgery in Milwaukee, WI

Active since June 09, 2006PECOS Enrolled
9000 W WISCONSIN AVE, PEDIATRIC SURGERY, MILWAUKEE, WI 53226(414) 266-6550(414) 266-6579 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 12, 2023, Jun 13, 2023, Dec 3, 2021 (3 updates tracked since 2021).

About Mr. David M. Gourlay M.d. NPPES

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

MR. DAVID M. GOURLAY M.D. (NPI 1740221092) is an individual pediatric surgery provider in Milwaukee, Wisconsin, licensed in Wisconsin (46853) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1740221092
Entity TypeIndividualMale
Primary Taxonomy2086S0120X
Provider Legal NameMR. DAVID M. GOURLAYCredential: M.D.
Location Address9000 W WISCONSIN AVE, PEDIATRIC SURGERYMilwaukee, WI 53226-4874
Mailing Address9000 W Wisconsin Ave, Pediatric SurgeryMilwaukee, WI 53226-4874 · (414) 266-6550 · Fax (414) 266-6579
Phone(414) 266-6550
Fax(414) 266-6579
Sole ProprietorNo
Enumeration DateJune 9, 2006
Last NPPES UpdateMarch 11, 20243 updates tracked since enumeration
NPPES CertifiedMarch 11, 2024
✔ NPI 1740221092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
License✔ Licensed in WI · 46853
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
9000 W WISCONSIN AVE, Milwaukee, WI 53226
Open in Google Maps ↗

Secondary Practice Locations 6

Location 11655 W Mequon RdMequon, WI 53092-3254 · Phone (414) 266-6550 · Fax (414) 266-6579
Location 23195 Hillside DrDelafield, WI 53018-2189 · Phone (414) 266-6550 · Fax (414) 266-6579
Location 39000 W Wisconsin AveMilwaukee, WI 53226-4874 · Phone (414) 266-2380 · Fax (414) 266-2294
Location 44855 S Moorland RdNew Berlin, WI 53151-7494 · Phone (414) 266-6550 · Fax (414) 266-6579
Location 52575 E Evergreen DriveAppleton, WI 54913-8904 · Phone (920) 969-5353 · Fax (414) 337-7201
Location 69200 W Wisconsin AveMilwaukee, WI 53226-3522 · Phone (414) 805-5800 · Fax (414) 805-8097

Other Identifiers 1

Medicaid1740221092WI

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. David M. Gourlay M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show David Gourlay reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Children's Specialty Group, Inc.
Same address
Pediatrics
9000 W WISCONSIN AVE
Milwaukee, WI 53226
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Childrens Specialty Group Inc
  • 424 clinicians in this Medicare group
NPI 1942970405 (414) 266-2000
The Medical College Of Wisconsin, Inc.
0.1 mi
Internal Medicine
8701 WATERTOWN PLANK RD
Milwaukee, WI 53226
  • Reassigned Medicare billing, Wisconsin enrollment
  • 3,983 clinicians in this Medicare group
NPI 1699720086 (414) 955-7101

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MS. LESLIE L. TALBERT NP
Nurse Practitioner (Pediatrics)
9000 W WISCONSIN AVE, PEDIATRIC CRITICAL CARE
MILWAUKEE, WI 53226
Milwaukee County (414) 266-3360
SARAH MARIE RUMLER DO
Pediatrics (Pediatric Hematology-Oncology)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 955-4170
ALISON COREN
Pediatrics (Pediatric Endocrinology)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 266-6750
BRANDON PALMER M.D.
Pediatrics
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 337-7050
AIDAN JAMES REID DO
Pediatrics
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 266-6800
KYNDAL LYN HETTICH RD, CSP, CD
Dietitian, Registered
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 266-5938
CARISA MARIE DIMATTINA LCSW
Social Worker (Clinical)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 581-4004
BREYA LOGAN WHITEFIELD PHD
Psychologist (Clinical)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 266-2000

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 David Gourlay's NPI number?

The NPI number for David Gourlay is 1740221092. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is David Gourlay located?

David Gourlay practices at 9000 W Wisconsin Ave Pediatric Surgery, Milwaukee, WI 53226. The listed phone number is (414) 266-6550.

What is David Gourlay's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is David Gourlay enrolled in Medicare?

Yes. David Gourlay is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for David Gourlay's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Gourlay reassigns Medicare benefits to 2 organizations: Children's Specialty Group, Inc. (Milwaukee, WI) and The Medical College Of Wisconsin, Inc. (Milwaukee, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Gourlay's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Gourlay accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 2 other insurers list David Gourlay 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.

When was this NPI record last updated?

The NPPES record for David Gourlay was last updated on March 11, 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.