FROEDTERT SOUTH MEDICAL GROUP
NPI 1558305284
Family Medicine in Kenosha, WI
About Froedtert South Medical Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FROEDTERT SOUTH MEDICAL GROUP (NPI 1558305284) is a healthcare organization registered as a family medicine in Kenosha, Wisconsin and active in the NPI registry since June 2006. The organization lists Thomas J Kelley, Vice President & Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Other Identifiers 3
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)
Froedtert South Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
212Medicare enrollment records show 212 clinicians reassign Medicare billing to Froedtert South Medical Group, which bills Medicare for the services they deliver. Of these, 15 practice at this address and 85 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 31
Nearest to this location (20)
See all 212Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Froedtert South, Inc.'s NPI number?
The NPI number for Froedtert South, Inc. is 1558305284. It was assigned to this organization in the NPPES registry on June 15, 2006. The provider is doing business as Froedtert South Medical Group.
Where is Froedtert South, Inc. located?
Froedtert South, Inc. is located at 6308 8th Ave, Kenosha, WI 53143. The listed phone number is (262) 656-2718.
What is Froedtert South, Inc.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Froedtert South, Inc. enrolled in Medicare?
Yes. Froedtert South, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Froedtert South, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 212 clinicians in 31 Medicare specialties reassign their Medicare billing to Froedtert South, 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 (45), Neurology (41) and Diagnostic Radiology (15). Of these, 15 practice at this address and 85 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Froedtert South, Inc. accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield and Network Health list Froedtert South, 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 Froedtert South, Inc. was last updated on March 15, 2023. 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.
# Froedtert South Medical Group · NPI 1558305284
Family Medicine organization in Kenosha, Wisconsin. Organization record, active in the CMS NPPES registry since June 15, 2006.
## Identity
- **NPI:** 1558305284 (Entity type: Organization)
- **Enumerated:** June 15, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Froedtert South, Inc.
- **Organization subpart:** Yes (part of Froedtert South, Inc.)
- **Authorized official:** Thomas Kelley, VICE PRESIDENT & CFO
## Practice location
- **Address:** 6308 8TH AVE, Kenosha, WI 53143
- **Phone:** (262) 656-2718
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 212 clinicians in 31 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (45), Neurology (41), Diagnostic Radiology (15); 15 practice at this address and 85 within 10 miles; [full list](https://npiprofile.com/npi/1558305284/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 15, 2023
- **Other identifiers:** Medicaid 32815500 (WI); Other CR0320 (WI); Other 213742 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1558305284) · Data from the CMS NPPES public registry.