GANESH N PULLA M.D
NPI 1679620918
Internal Medicine - Nephrology in Kenosha, WI
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
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Ganesh Pulla reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Kenosha, WI 53142
- Reassigned Medicare billing, Wisconsin enrollment
Milwaukee, WI 53216
- Reassigned Medicare billing, Wisconsin enrollment
- 52 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, WIAurora St Lukes Medical Center
Acute Care Hospitals · Milwaukee, WIAurora Medical Center Kenosha
Acute Care Hospitals · Kenosha, WIPhysician 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.
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.
KENOSHA, WI 53142
KENOSHA, WI 53142
KENOSHA, WI 53142
KENOSHA, WI 53142
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.
Which organizations bill Medicare for Ganesh Pulla's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ganesh Pulla reassigns Medicare benefits to 2 organizations: Surya Medical Group Sc (Kenosha, WI) and Independent Physicians Of Wisconsin, LLC (Milwaukee, WI). Each 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 Ganesh Pulla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ganesh Pulla accept?
Health plans from Anthem Blue Cross and Blue Shield, Network Health and Quartz 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.
# Ganesh N Pulla, M.D · NPI 1679620918
Nephrology physician in Kenosha, Wisconsin. Individual provider, active in the CMS NPPES registry since January 5, 2007.
## Identity
- **NPI:** 1679620918 (Entity type: Individual)
- **Enumerated:** January 5, 2007
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **State license:** 40695 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 6125 GREEN BAY RD, 100, Kenosha, WI 53142-2928
- **Phone:** (262) 564-8636 · **Fax:** (262) 564-8637
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Surya Medical Group Sc (NPI 1043415631, Kenosha, WI); Independent Physicians Of Wisconsin, LLC (NPI 1871975920, Milwaukee, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1982
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicare UPIN G50880 (WI); Medicaid 21279800 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1679620918) · Data from the CMS NPPES public registry.