SIRISHA GUDLAWAR
NPI 1225590268
Internal Medicine - Nephrology in Milwaukee, WI

Active since April 01, 2019PECOS EnrolledAccepts Medicare Assignment
8701 WATERTOWN PLANK RD, MILWAUKEE, WI 53226(414) 955-8296 Get Directions Write a Review

NPPES record last updated: November 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 22, 2024, Nov 24, 2023, Apr 1, 2019 (3 updates tracked since 2019).

About Sirisha Gudlawar NPPES

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

SIRISHA GUDLAWAR (NPI 1225590268) is an individual nephrology provider in Milwaukee, Wisconsin, licensed in Wisconsin (77810-20) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Froedtert South Inc., and maintains a secondary practice location in Langhorne.

NPPES Registry Identity

NPI1225590268
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameSIRISHA GUDLAWAR
Location Address8701 WATERTOWN PLANK RDMilwaukee, WI 53226-3548
Mailing Address7877 W Oakwood WayFranklin, WI 53132-3500 · (734) 635-9406
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateApril 1, 2019
Last NPPES UpdateNovember 22, 20243 updates tracked since enumeration
NPPES CertifiedNovember 22, 2024
NPI 1225590268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in WI · 77810-20
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License 77810-20 (WI)
8701 WATERTOWN PLANK RD, Milwaukee, WI 53226

Secondary Practice Location 1

Location 1St. Mary medical center, 1201 langhorne, newtown roadlanghorne, PA 19047 · Phone (215) 710-6600 · Fax (215) 710-5975

Accepted 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

Sirisha Gudlawar 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 ID5092108142
PECOS Enrollment IDI20240404001450
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 9

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
159 services43 patients
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.
128 services85 patients
Dialysis services, 1 physician visit per month (20 years or older) 90962
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can’t do their job. A physician visit once a month ensures your treatment is working effectively and adjusts it if necessary. This service is available for individuals aged 20 years and older.
73 services16 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
67 services27 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
53 services35 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
51 services15 patients

Hospital Affiliations CMS Care Compare

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

Froedtert South Inc.

Acute Care Hospitals · Pleasant Prairie, WI
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number520021
Location9555 76th StPleasant Prairie, WI 53158 · Kenosha County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53226 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.

Student in an Organized Health Care Education/Training Program
8701 WATERTOWN PLANK RD
MILWAUKEE, WI 53226
Student in an Organized Health Care Education/Training Program
8701 WATERTOWN PLANK RD
MILWAUKEE, WI 53226
Student in an Organized Health Care Education/Training Program
8701 WATERTOWN PLANK RD
MILWAUKEE, WI 53226
Student in an Organized Health Care Education/Training Program
8701 WATERTOWN PLANK RD
WAUWATOSA, WI 53226
Student in an Organized Health Care Education/Training Program
8701 WATERTOWN PLANK RD
MILWAUKEE, WI 53226
Student in an Organized Health Care Education/Training Program
8701 WATERTOWN PLANK RD
MILWAUKEE, WI 53226
Internal Medicine (Sleep Medicine)
8701 WATERTOWN PLANK RD
MILWAUKEE, WI 53226
Student in an Organized Health Care Education/Training Program
8701 WATERTOWN PLANK RD
MILWAUKEE, WI 53226

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 Sirisha Gudlawar's NPI number?

The NPI number for Sirisha Gudlawar is 1225590268. It was assigned to this individual provider in the NPPES registry on April 1, 2019.

Where is Sirisha Gudlawar located?

Sirisha Gudlawar practices at 8701 Watertown Plank Rd, Milwaukee, WI 53226. The listed phone number is (414) 955-8296.

What is Sirisha Gudlawar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Sirisha Gudlawar enrolled in Medicare?

Yes. Sirisha Gudlawar 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 Sirisha Gudlawar accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Sirisha Gudlawar 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 Sirisha Gudlawar affiliated with any hospitals?

According to CMS data, Sirisha Gudlawar is affiliated with Froedtert South Inc..

When was this NPI record last updated?

The NPPES record for Sirisha Gudlawar was last updated on November 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.