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KIDNEY REPLACEMENT THERAPIES, SC
NPI 1720283302
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Kenosha, WI

Active since June 15, 2007
6125 GREEN BAY RD, SUITE 100, KENOSHA, WI 53142(262) 564-8636(262) 564-8637 Get Directions Write a Review

NPPES record last updated: December 19, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kidney Replacement Therapies, Sc NPPES

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

KIDNEY REPLACEMENT THERAPIES, SC (NPI 1720283302) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Kenosha, Wisconsin and active in the NPI registry since June 2007. The organization lists Ganesh N Pulla, Doctor, as its authorized official.

NPPES Registry Identity

NPI1720283302
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameKIDNEY REPLACEMENT THERAPIES, SC
Location Address6125 GREEN BAY RD, SUITE 100Kenosha, WI 53142-2928
Mailing Address6125 Green Bay Rd, Suite 100Kenosha, WI 53142-2928 · (262) 564-8636 · Fax (262) 564-8637
Phone(262) 564-8636
Fax(262) 564-8637
Organization SubpartNo
Authorized OfficialGanesh N PullaDoctor · (262) 564-8636
Enumeration DateJune 15, 2007
Last NPPES UpdateDecember 19, 2014
✔ NPI 1720283302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
License✔ Licensed in WI · 40695-20
6125 GREEN BAY RD, Kenosha, WI 53142
Open in Google Maps ↗

Other Identifiers 3

Medicaid21279800WI
Medicare UPING50880WI
Medicare OSCAR/certification522568WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Quartz.Insurance ›

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
GANESH N PULLA M.D
Internal Medicine (Nephrology)
6125 GREEN BAY RD, 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 Kidney Replacement Therapies, Sc's NPI number?

The NPI number for Kidney Replacement Therapies, Sc is 1720283302. It was assigned to this organization in the NPPES registry on June 15, 2007.

Where is Kidney Replacement Therapies, Sc located?

Kidney Replacement Therapies, Sc is located at 6125 Green Bay Rd Suite 100, Kenosha, WI 53142. The listed phone number is (262) 564-8636.

What is Kidney Replacement Therapies, Sc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

What insurance does Kidney Replacement Therapies, Sc accept?

Health plans from Quartz list Kidney Replacement Therapies, Sc 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 Kidney Replacement Therapies, Sc was last updated on December 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.