KIDNEY INSTITUTE OF WISCONSIN, LLC
NPI 1831262674
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Glendale, WI

Active since November 17, 2006
5650 N GREEN BAY AVE, SUITE 150, GLENDALE, WI 53209(414) 431-5960(414) 434-0359 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kidney Institute Of Wisconsin, Llc NPPES

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

KIDNEY INSTITUTE OF WISCONSIN, LLC (NPI 1831262674) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Glendale, Wisconsin and active in the NPI registry since November 2006. The organization lists Herbert S Lawson, Cfo, as its authorized official.

NPPES Registry Identity

NPI1831262674
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameKIDNEY INSTITUTE OF WISCONSIN, LLC
Location Address5650 N GREEN BAY AVE, SUITE 150Glendale, WI 53209-4446
Mailing Address2100 Central Ave, Suite 201Boulder, CO 80301-2838 · (303) 785-7523 · Fax (303) 444-8639
Fax(414) 434-0359
Organization SubpartNo
Authorized OfficialHerbert S LawsonCfo · (303) 785-7521
Enumeration DateNovember 17, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1831262674 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
5650 N GREEN BAY AVE, Glendale, WI 53209

Other Identifiers 1

Medicaid42059400WI

Other Providers at the Same Location NPPES 3

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

Pediatrics
5650 N GREEN BAY AVE, SUITE 210
GLENDALE, WI 53209
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
5650 N GREEN BAY AVE, SUITE 150
GLENDALE, WI 53209
Counselor (Professional)
5650 N GREEN BAY AVE
GLENDALE, WI 53209

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 Institute Of Wisconsin, LLC's NPI number?

The NPI number for Kidney Institute Of Wisconsin, LLC is 1831262674. It was assigned to this organization in the NPPES registry on November 17, 2006.

Where is Kidney Institute Of Wisconsin, LLC located?

Kidney Institute Of Wisconsin, LLC is located at 5650 N Green Bay Ave Suite 150, Glendale, WI 53209. The listed phone number is (414) 431-5960.

What is Kidney Institute Of Wisconsin, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Kidney Institute Of Wisconsin, LLC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.