1. Home
  2. Directory
  3. Wisconsin
  4. Kenosha
  5. Internal Medicine
  6. NPI Profile

GANESH N PULLA M.D
NPI 1679620918
Internal Medicine - Nephrology in Kenosha, WI

Active since January 05, 2007PECOS EnrolledAccepts Medicare Assignment
6125 GREEN BAY RD, 100, KENOSHA, WI 53142(262) 564-8636(262) 564-8637 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ganesh N Pulla M.d NPPES

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

GANESH N PULLA M.D (NPI 1679620918) is an individual nephrology provider in Kenosha, Wisconsin, licensed in Wisconsin (40695) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Froedtert South Inc., and is a graduate of Other (1982).

NPPES Registry Identity

NPI1679620918
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameGANESH N PULLACredential: M.D
Location Address6125 GREEN BAY RD, 100Kenosha, WI 53142-2928
Mailing Address6125 Green Bay Rd, 100Kenosha, WI 53142-2928 · (262) 564-8636 · Fax (262) 564-8637
Phone(262) 564-8636
Fax(262) 564-8637
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateJanuary 5, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1679620918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in WI · 40695
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
6125 GREEN BAY RD, Kenosha, WI 53142
Open in Google Maps ↗

Other Identifiers 2

Medicare UPING50880WI
Medicaid21279800WI

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 ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ganesh N Pulla M.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345218384
PECOS Enrollment IDI20040920000113
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
78 services20 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Froedtert South Inc.

Acute Care Hospitals · Pleasant Prairie, WI
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number520021
Location9555 76th StPleasant Prairie, WI 53158 · Kenosha County
Emergency services

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520138
Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County
Emergency services Birthing friendly

Aurora Medical Center Kenosha

Acute Care Hospitals · Kenosha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520189
Location10400 75th StKenosha, WI 53142 · Kenosha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53142 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

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

SURYA MEDICAL GROUP SC
Family Medicine (Geriatric Medicine)
6125 GREEN BAY RD, SUITE 100
KENOSHA, WI 53142
Kenosha County (262) 564-8636
DR. LAURIE ANN ROBERTSON O.D.
Optometrist
6125 GREEN BAY RD, SUITE 800
KENOSHA, WI 53142
Kenosha County (262) 654-0726
DR. FRANK SERRECCHIA M.D.
Pediatrics
6125 GREEN BAY RD, SUITE 700
KENOSHA, WI 53142
Kenosha County (262) 654-8633
V. STEPHEN SLANA , M.D.,S.C.
Durable Medical Equipment & Medical Supplies
6125 GREEN BAY RD, SUITE 800
KENOSHA, WI 53142
Kenosha County (262) 654-0726
KIDNEY REPLACEMENT THERAPIES, SC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
6125 GREEN BAY RD, SUITE 100
KENOSHA, WI 53142
Kenosha County (262) 564-8636
VICTOR STEPHEN SLANA MD
Ophthalmology
6125 GREEN BAY RD, STE 800
KENOSHA, WI 53142
Kenosha County (262) 654-0726
KENOSHA KIDNEY DIALYSIS LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
6125 GREEN BAY RD, SUITE 100
KENOSHA, WI 53142
Kenosha County (262) 652-1776
BHARATHI PULLA M.D
Family Medicine (Adolescent Medicine)
6125 GREEN BAY RD
KENOSHA, WI 53142
Kenosha County (262) 564-8636

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 Ganesh Pulla's NPI number?

The NPI number for Ganesh Pulla is 1679620918. It was assigned to this individual provider in the NPPES registry on January 5, 2007.

Where is Ganesh Pulla located?

Ganesh Pulla practices at 6125 Green Bay Rd 100, Kenosha, WI 53142. The listed phone number is (262) 564-8636.

What is Ganesh Pulla's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Ganesh Pulla enrolled in Medicare?

Yes. Ganesh Pulla is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ganesh Pulla accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Network Health, Quartz and UnitedHealthcare list Ganesh Pulla 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.

Is Ganesh Pulla affiliated with any hospitals?

According to CMS data, Ganesh Pulla is affiliated with Froedtert South Inc., Aurora St Lukes Medical Center and Aurora Medical Center Kenosha.

When was this NPI record last updated?

The NPPES record for Ganesh Pulla was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.