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KENOSHA URGICARE
NPI 1629373204
Clinic/Center - Urgent Care in Kenosha, WI

Active since January 13, 2011CLIA 52D2022274 · Waiver
6430 S GREEN BAY RD, SUITE 104, KENOSHA, WI 53142(262) 925-0535(262) 925-0538 Get Directions Write a Review

NPPES record last updated: October 25, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kenosha Urgicare NPPES

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

KENOSHA URGICARE (NPI 1629373204) is a healthcare organization registered as an urgent care in Kenosha, Wisconsin and active in the NPI registry since January 2011. The organization holds a CLIA Waiver certificate valid through March 29, 2027 and lists Fuad Shihab Ahmad, Owner, as its authorized official.

NPPES Registry Identity

NPI1629373204
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameKENOSHA URGICARE
Location Address6430 S GREEN BAY RD, SUITE 104Kenosha, WI 53142
Mailing Address6430 S Green Bay Rd, Suite 104Kenosha, WI 53142 · (262) 925-0535 · Fax (262) 925-0538
Phone(262) 925-0535
Fax(262) 925-0538
Organization SubpartNo
Authorized OfficialFuad Shihab AhmadOwner · (262) 925-0535
Enumeration DateJanuary 13, 2011
Last NPPES UpdateOctober 25, 2011
✔ NPI 1629373204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
6430 S GREEN BAY RD, 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, UnitedHealthcare.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 52D2022274

Kenosha Urgicare · Kenosha, WI
Active · expires Mar 29, 2027
CLIA Number52D2022274
Laboratory TypeUrgent Care
Certificate Effective DateMarch 30, 2025
Certificate Expiration DateMarch 29, 2027
Laboratory DirectorDr. Nauman A. Siddiqi
Laboratory Phone(262) 925-0535
Laboratory LocationKenosha Urgicare3536 52nd Street, Suite 1B, Kenosha, WI 53144
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Urgicare's NPI number?

The NPI number for Kenosha Urgicare is 1629373204. It was assigned to this organization in the NPPES registry on January 13, 2011.

Where is Kenosha Urgicare located?

Kenosha Urgicare is located at 6430 S Green Bay Rd Suite 104, Kenosha, WI 53142. The listed phone number is (262) 925-0535.

What is Kenosha Urgicare's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Does Kenosha Urgicare hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2022274) is associated with this NPI, valid through March 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kenosha Urgicare accept?

Health plans from Anthem Blue Cross and Blue Shield and UnitedHealthcare list Kenosha Urgicare 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 Urgicare was last updated on October 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.