KENOSHA URGICARE
NPI 1629373204
Clinic/Center - Urgent Care in Kenosha, WI
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
Specialties & Licenses
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)
Kenosha Urgicare is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Kenosha Urgicare, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, WIFrequently 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.
Is Kenosha Urgicare enrolled in Medicare?
Yes. Kenosha Urgicare is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kenosha Urgicare?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Kenosha Urgicare. 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 (5) and Emergency Medicine (1). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Kenosha Urgicare · NPI 1629373204
Urgent Care organization in Kenosha, Wisconsin. Organization record, active in the CMS NPPES registry since January 13, 2011.
## Identity
- **NPI:** 1629373204 (Entity type: Organization)
- **Enumerated:** January 13, 2011
- **Primary specialty:** Clinic/Center - Urgent Care · taxonomy 261QU0200X
- **Organization subpart:** No
- **Authorized official:** Fuad Ahmad, OWNER
## Practice location
- **Address:** 6430 S GREEN BAY RD, SUITE 104, Kenosha, WI 53142
- **Phone:** (262) 925-0535 · **Fax:** (262) 925-0538
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Emergency Medicine (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 25, 2011
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1629373204) · Data from the CMS NPPES public registry.