SOUTHWEST HEALTH CENTER, INC
NPI 1164130266
Family Medicine in Kieler, WI
About Southwest Health Center, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHWEST HEALTH CENTER, INC (NPI 1164130266), doing business as Southwest Health Kieler Clinic, is a healthcare organization registered as a family medicine in Kieler, Wisconsin and active in the NPI registry since November 2022. The organization holds a CLIA Waiver certificate valid through July 14, 2028 and lists Jesse Sookochoff, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southwest Health Center, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
175Medicare enrollment records show 175 clinicians reassign Medicare billing to Southwest Health Center, Inc, which bills Medicare for the services they deliver. Of these, 15 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 34
Nearest to this location (20)
See all 175Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 52D2264546
Southwest Health Kieler Clinic · Kieler, WIFrequently 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 Southwest Health Center, Inc's NPI number?
The NPI number for Southwest Health Center, Inc is 1164130266. It was assigned to this organization in the NPPES registry on November 8, 2022. The provider is doing business as Southwest Health Kieler Clinic.
Where is Southwest Health Center, Inc located?
Southwest Health Center, Inc is located at 3695 Prism Lane, Kieler, WI 53812. The listed phone number is (608) 348-2331.
What is Southwest Health Center, Inc's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Southwest Health Center, Inc enrolled in Medicare?
Yes. Southwest Health Center, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southwest Health Center, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 175 clinicians in 34 Medicare specialties reassign their Medicare billing to Southwest Health Center, Inc. A 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 the clinician's services. The largest specialties are Nurse Practitioner (34), Certified Registered Nurse Anesthetist (CRNA) (20) and Physical Therapist in Private Practice (19). Of these, 15 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Southwest Health Center, Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 52D2264546) is associated with this NPI, valid through July 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Southwest Health Center, Inc accept?
Health plans from Anthem Blue Cross and Blue Shield and Dean Health Plan list Southwest Health Center, Inc 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 Southwest Health Center, Inc was last updated on November 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Southwest Health Center, Inc · NPI 1164130266
Family Medicine organization in Kieler, Wisconsin. Organization record, active in the CMS NPPES registry since November 8, 2022.
## Identity
- **NPI:** 1164130266 (Entity type: Organization)
- **Enumerated:** November 8, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** Southwest Health Kieler Clinic (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Jesse Sookochoff, CFO
## Practice location
- **Address:** 3695 PRISM LANE, Kieler, WI 53812-0263
- **Phone:** (608) 348-2331
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 175 clinicians in 34 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (34), Certified Registered Nurse Anesthetist (CRNA) (20), Physical Therapist in Private Practice (19); 15 practice within 10 miles; [full list](https://npiprofile.com/npi/1164130266/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 8, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1164130266) · Data from the CMS NPPES public registry.