KENOSHA DIGESTIVE HEALTH CENTER LLC
NPI 1275178444
Clinic/Center - Ambulatory Surgical in Kenosha, WI

Q: What is Kenosha Digestive Health Center LLC's NPI number?

The NPI number for Kenosha Digestive Health Center LLC is 1275178444. It was assigned to this organization in the NPPES registry on November 12, 2019.

Q: What is Kenosha Digestive Health Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since November 12, 2019CLIA 52D2180707 · Waiver

8220 75TH ST, KENOSHA, WI 53142(414) 908-6500(414) 908-6565 Get Directions Write a Review

NPPES record last updated: January 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 8, 2025, Jul 12, 2022, Nov 12, 2019 (3 updates tracked since 2019).

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About Kenosha Digestive Health Center Llc NPPES

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

KENOSHA DIGESTIVE HEALTH CENTER LLC (NPI 1275178444) is a healthcare organization registered as an ambulatory surgical in Kenosha, Wisconsin and active in the NPI registry since November 2019. The organization holds a CLIA Waiver certificate valid through March 17, 2028 and lists Amy Jo Burns, Director Revenue Cycle Management, as its authorized official.

NPPES Registry Identity

NPI1275178444

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameKENOSHA DIGESTIVE HEALTH CENTER LLC

Location Address8220 75TH STKenosha, WI 53142-7637

Mailing Address2801 W Kinnickinnic River Pkwy Ste 1080Milwaukee, WI 53215-3689 · (414) 908-6506 · Fax (414) 908-6510

Phone(414) 908-6500

Fax(414) 908-6565

Organization SubpartNo

Authorized OfficialAmy Jo BurnsDirector Revenue Cycle Management · (262) 970-7825

Enumeration DateNovember 12, 2019

Last NPPES UpdateJanuary 8, 20253 updates tracked since enumeration

NPPES CertifiedJanuary 8, 2025

✔ NPI 1275178444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

8220 75TH ST, Kenosha, WI 53142

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Network Health and more.Insurance ›

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 52D2180707

Kenosha Digestive Health Center · Kenosha, WI

Active · expires Mar 17, 2028

CLIA Number52D2180707

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateMarch 18, 2026

Certificate Expiration DateMarch 17, 2028

Laboratory DirectorDr. Lyndon Hernandez

Laboratory Phone(414) 908-6500

Laboratory LocationKenosha Digestive Health Center8220 75th St, Kenosha, WI 53142

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

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.

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

72 services72 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

60 services60 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

41 services39 patients

Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248

This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.

14 services14 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

12 services12 patients

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 Kenosha Digestive Health Center LLC's NPI number?

The NPI number for Kenosha Digestive Health Center LLC is 1275178444. It was assigned to this organization in the NPPES registry on November 12, 2019.

Where is Kenosha Digestive Health Center LLC located?

Kenosha Digestive Health Center LLC is located at 8220 75th St, Kenosha, WI 53142. The listed phone number is (414) 908-6500.

What is Kenosha Digestive Health Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Kenosha Digestive Health Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2180707) is associated with this NPI, valid through March 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kenosha Digestive Health Center LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Network Health and UnitedHealthcare list Kenosha Digestive Health Center LLC 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 Kenosha Digestive Health Center LLC was last updated on January 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.