PREVEA HEALTH
NPI 1306869276
Internal Medicine in Green Bay, WI

Q: What is Prevea Clinic, Inc.'s NPI number?

The NPI number for Prevea Clinic, Inc. is 1306869276. It was assigned to this organization in the NPPES registry on July 25, 2006. The provider is also known as Prevea Health.

Q: What is Prevea Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since July 25, 2006CLIA Certified · 2 labs

2710 EXECUTIVE DR, GREEN BAY, WI 54304(920) 496-4700(920) 496-4705 Get Directions Write a Review

NPPES record last updated: January 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Prevea Health NPPES

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

PREVEA HEALTH (NPI 1306869276) is a healthcare organization registered as an internal medicine in Green Bay, Wisconsin and active in the NPI registry since July 2006. The organization holds 2 active CLIA laboratory certificates and lists Ashok N Rai, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1306869276

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NamePREVEA CLINIC, INC.

Location Address2710 EXECUTIVE DRGreen Bay, WI 54304-5496

Mailing AddressPo Box 19070, Prevea HealthGreen Bay, WI 54307-9070 · (920) 496-4700 · Fax (920) 496-4705

Phone(920) 496-4700

Fax(920) 496-4705

Organization SubpartNo

Authorized OfficialAshok N RaiPresident/ceo · (920) 496-4700

Enumeration DateJuly 25, 2006

Last NPPES UpdateJanuary 12, 2022

NPPES CertifiedJanuary 12, 2022

✔ NPI 1306869276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedAllergy & ImmunologyTaxonomy 207K00000X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X

Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X

Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

Also ListedObstetrics & Gynecology · Gynecologic OncologyTaxonomy 207VX0201X

Also ListedOphthalmologyTaxonomy 207W00000X

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X

Also ListedOtolaryngologyTaxonomy 207Y00000X

Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X

Also ListedPediatricsTaxonomy 208000000X

Also ListedPediatrics · Pediatric Allergy/ImmunologyTaxonomy 2080P0201X

2710 EXECUTIVE DR, Green Bay, WI 54304

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Other Names 1

Other NamePrevea Health

Other Identifiers 1

Medicaid32704600WI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Security Health Plan.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 Accreditation 52D0921998

Prevea Clinic-Howard · Green Bay, WI

Active · expires May 11, 2027

CLIA Number52D0921998

Laboratory TypePhysician Office

Certificate Effective DateMay 12, 2025

Certificate Expiration DateMay 11, 2027

Laboratory DirectorDr. Robert Cutlan

Laboratory Phone(920) 496-4734

Laboratory LocationPrevea Clinic-Howard2793 Lineville Rd, Green Bay, WI 54313

CLIA data matches this NPI record on: Name

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 52D2157189

Prevea Health - Ashwaubenon (737 Cormier Rd) · Green Bay, WI

Active · expires Oct 31, 2026

CLIA Number52D2157189

Laboratory TypePhysician Office

Certificate Effective DateNovember 1, 2024

Certificate Expiration DateOctober 31, 2026

Laboratory DirectorDr. Adam Kuten

Laboratory Phone(833) 625-0633

Laboratory LocationPrevea Health - Ashwaubenon (737 Cormier Rd)737 Cormier Road, Green Bay, WI 54304

CLIA data matches this NPI record on: Name

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

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAYLA BRANAM

Nurse Practitioner (Family)