SIRISHA GUDLAWAR
NPI 1225590268
Internal Medicine - Nephrology in Milwaukee, WI
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
Specialties & Licenses 3
Secondary Practice Location 1
Accepted Insurance
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Sirisha Gudlawar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Kenosha, WI 53143
- Reassigned Medicare billing, Wisconsin enrollment
- 212 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.
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Froedtert South Inc.
Acute Care Hospitals · Pleasant Prairie, WIFroedtert Memorial Lutheran Hospital
Acute Care Hospitals · Milwaukee, WIPhysician 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.
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.
MILWAUKEE, WI 53226
MILWAUKEE, WI 53226
MILWAUKEE, WI 53226
WAUWATOSA, WI 53226
MILWAUKEE, WI 53226
MILWAUKEE, WI 53226
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.
Which organization bills Medicare for Sirisha Gudlawar's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sirisha Gudlawar reassigns Medicare benefits to Froedtert South, Inc. (Kenosha, WI). The 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 Sirisha Gudlawar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sirisha Gudlawar accept?
Health plans from Ambetter Health, 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. and Froedtert Memorial Lutheran Hospital.
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 23 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.
# Sirisha Gudlawar · NPI 1225590268
Nephrology physician in Milwaukee, Wisconsin. Individual provider, active in the CMS NPPES registry since April 1, 2019.
## Identity
- **NPI:** 1225590268 (Entity type: Individual)
- **Enumerated:** April 1, 2019
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **State license:** 77810-20 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 8701 WATERTOWN PLANK RD, Milwaukee, WI 53226-3548
- **Phone:** (414) 955-8296
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Froedtert South, Inc. (NPI 1558305284, Kenosha, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** November 22, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1225590268) · Data from the CMS NPPES public registry.