KIDNEY CARE HOME SC
NPI 1831822956
Internal Medicine - Nephrology in Kenosha, WI

Q: What is Kidney Care Home Sc's NPI number?

The NPI number for Kidney Care Home Sc is 1831822956. It was assigned to this organization in the NPPES registry on July 6, 2022.

Q: What is Kidney Care Home Sc's specialty?

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

Active since July 06, 2022

6125 GREEN BAY RD STE 200, KENOSHA, WI 53142(262) 564-8636(262) 564-8637 Get Directions Write a Review

NPPES record last updated: July 6, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kidney Care Home Sc NPPES

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

KIDNEY CARE HOME SC (NPI 1831822956) is a healthcare organization registered as a nephrology in Kenosha, Wisconsin and active in the NPI registry since July 2022. The organization lists Ganesh N Pulla, Owner/medical Director, as its authorized official.

NPPES Registry Identity

NPI1831822956

Entity TypeOrganization

Primary Taxonomy207RN0300X

Legal Business NameKIDNEY CARE HOME SC

Location Address6125 GREEN BAY RD STE 200Kenosha, WI 53142-2945

Mailing Address6125 Green Bay Rd Ste 200Kenosha, WI 53142-2945 · (262) 564-8636 · Fax (262) 564-8637

Phone(262) 564-8636

Fax(262) 564-8637

Organization SubpartNo

Authorized OfficialGanesh N PullaOwner/medical Director · (262) 564-8636

Enumeration DateJuly 6, 2022

NPPES CertifiedJuly 6, 2022

✔ NPI 1831822956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

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 STE 200, Kenosha, WI 53142

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Other Identifiers 1

Medicaid32537500WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Care Home Sc's NPI number?

The NPI number for Kidney Care Home Sc is 1831822956. It was assigned to this organization in the NPPES registry on July 6, 2022.

Where is Kidney Care Home Sc located?

Kidney Care Home Sc is located at 6125 Green Bay Rd Ste 200, Kenosha, WI 53142. The listed phone number is (262) 564-8636.

What is Kidney Care Home Sc's specialty?

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

When was this NPI record last updated?

The NPPES record for Kidney Care Home Sc was last updated on July 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.