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: July 19, 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
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

Other Identifiers 2

Medicare UPING50880WI
Medicaid21279800WI

Accepted 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 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 30-39 minutes 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.
100 services29 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
32 services19 patients

Hospital Affiliations CMS Care Compare 2

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 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.

Family Medicine (Geriatric Medicine)
6125 GREEN BAY RD, SUITE 100
KENOSHA, WI 53142
Optometrist
6125 GREEN BAY RD, SUITE 800
KENOSHA, WI 53142
Pediatrics
6125 GREEN BAY RD, SUITE 700
KENOSHA, WI 53142
Ophthalmology
6125 GREEN BAY RD, STE 800
KENOSHA, WI 53142
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
6125 GREEN BAY RD, SUITE 100
KENOSHA, WI 53142
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
6125 GREEN BAY RD, SUITE 100
KENOSHA, WI 53142
Family Medicine (Adolescent Medicine)
6125 GREEN BAY RD
KENOSHA, WI 53142
Durable Medical Equipment & Medical Supplies
6125 GREEN BAY RD, SUITE 800
KENOSHA, WI 53142

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679620918, enumerated as an "individual" on January 05, 2007.

The provider is located at 6125 GREEN BAY RD 100 KENOSHA, WI 53142 and the phone number is (262) 564-8636.

Internal Medicine with taxonomy code 207RN0300X and a focus in Nephrology.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, CareSource. Please consult your insurance carrier or call the provider to verify.

Ganesh Pulla is affiliated with: FROEDTERT SOUTH INC. and AURORA MEDICAL CENTER KENOSHA.