TERESA A. GONZAGA MD – NPI #1073776928
Surgery

A surgeon who specializes in plastic and reconstructive surgery.

Health Care Provider Taxonomy Code for Surgery

TERESA GONZAGA is a surgeon located in GREEN BAY, WI. NPPES has assigned the NPI number 1073776928 to TERESA GONZAGA on July 09, 2008. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 3 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 2086S0122X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Plastic and Reconstructive Surgery

The NPI profile was last updated on Apr 21, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TERESA GONZAGA below.

NPI Profile for
TERESA A. GONZAGA

NPI Number
1073776928
Enumeration Date

(about 18 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
TERESA A. GONZAGA
Credentials
MD
Primary location
2605 DEVELOPMENT DR
GREEN BAY, WI 54311-4240
Phone: (920) 288-8240 Fax: (920) 857-1488
3 Other location(s):
640 Jackson St
Saint Paul, MN 55101-2502
Phone: (651) 254-5151
Fax: (651) 254-3123
245 S Executive Dr Ste 201
Brookfield, WI 53005-4204
Phone: (414) 367-9646
2116 Craig Rd
Eau Claire, WI 54701
Phone: (715) 858-4500
Mailing address
1035 KEPLER DR
GREEN BAY, WI 54311-8320
Phone: (920) 490-9046 Fax: (920) 405-8005
Sole Proprietor
No
Updated
Certification Date
Apr 21, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0122X
- Surgery / Plastic and Reconstructive Surgery (Primary)		 WI 69135

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE - Graduated 2008
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
TERESA GONZAGA is affiliated with the following medical group(s):
  • HOSPITAL
    • ASCENSION COLUMBIA ST MARY'S HOSPITAL MILWAUKEE
      2323 N LAKE DR
      MILWAUKEE, WI 53211

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.