Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. GAURI SHAILESH PIKALE MD
NPI 1851086011
Hospitalist in Green Bay, WI

Active since April 05, 2023PECOS EnrolledAccepts Medicare Assignment
835 S VAN BUREN ST, GREEN BAY, WI 54301(920) 496-4700 Get Directions Write a Review

NPPES record last updated: September 9, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 9, 2026, Jan 6, 2024, Oct 4, 2023 and 1 more (4 updates tracked since 2023).

About Ms. Gauri Shailesh Pikale Md NPPES

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

MS. GAURI SHAILESH PIKALE MD (NPI 1851086011) is an individual hospitalist provider in Green Bay, Wisconsin, licensed in Wisconsin (86745-20) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS, is affiliated with St Mary's Hospital Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1851086011
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameMS. GAURI SHAILESH PIKALECredential: MD
Location Address835 S VAN BUREN STGreen Bay, WI 54301-3526
Mailing AddressPo Box 19070Green Bay, WI 54307-9070 · (920) 496-4700
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 5, 2023
Last NPPES UpdateSeptember 9, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2026
✔ NPI 1851086011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in WI · 86745-20
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 125.082171 (IL)
835 S VAN BUREN ST, Green Bay, WI 54301

Other Identifiers 1

Medicaid100420243WI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Gauri Shailesh Pikale 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 ID6507203510
PECOS Enrollment IDI20260717000092
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

3

Medicare enrollment records show Gauri Pikale reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Surgery
900 S WEBSTER AVE
Green Bay, WI 54301
  • Reassigned Medicare billing, Wisconsin enrollment
  • 216 clinicians in this Medicare group
General Practice
2710 EXECUTIVE DR
Green Bay, WI 54304
  • Reassigned Medicare billing, Wisconsin enrollment
  • 742 clinicians in this Medicare group
Internal Medicine
3113 SAEMANN AVE
Sheboygan, WI 53081
  • Reassigned Medicare billing, Wisconsin enrollment
  • 673 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

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

St Mary's Hospital Medical Center

Acute Care Hospitals · Green Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number520097
Location1726 Shawano AveGreen Bay, WI 54303 · Brown County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54301 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.

Pediatrics
835 S VAN BUREN ST, ROOM 1041
GREEN BAY, WI 54301
Hospitalist
835 S VAN BUREN ST, ST VINCENT HOSPITAL
GREEN BAY, WI 54301
Radiology (Radiation Oncology)
835 S VAN BUREN ST
GREEN BAY, WI 54301
Anesthesiology
835 S VAN BUREN ST
GREEN BAY, WI 54301
Internal Medicine
835 S VAN BUREN ST
GREEN BAY, WI 54301
Anesthesiology
835 S VAN BUREN ST
GREEN BAY, WI 54301
Physician Assistant
835 S VAN BUREN ST
GREEN BAY, WI 54301
Pathology (Anatomic Pathology & Clinical Pathology)
835 S VAN BUREN ST
GREEN BAY, WI 54301

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 Gauri Pikale's NPI number?

The NPI number for Gauri Pikale is 1851086011. It was assigned to this individual provider in the NPPES registry on April 5, 2023.

Where is Gauri Pikale located?

Gauri Pikale practices at 835 S Van Buren St, Green Bay, WI 54301. The listed phone number is (920) 496-4700.

What is Gauri Pikale's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Gauri Pikale enrolled in Medicare?

Yes. Gauri Pikale 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.

Which organizations bill Medicare for Gauri Pikale's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gauri Pikale reassigns Medicare benefits to 3 organizations: St. Clare Memorial Hospital, Inc. (Green Bay, WI), St Vincent Hospital-Hospital Sisters-Third Order Of St Francis (Green Bay, WI) and St. Nicholas Hospital-Sisters Of The Third Order Of St Francis (Sheboygan, 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 Gauri Pikale's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Gauri Pikale affiliated with any hospitals?

According to CMS data, Gauri Pikale is affiliated with St Mary's Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Gauri Pikale was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 days 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.