KIDNEY CARE HOME SC – NPI #1831822956
Internal Medicine

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.

Health Care Provider Taxonomy Code for Internal Medicine

KIDNEY CARE HOME SC is a provider located in KENOSHA, WI. NPPES has assigned the NPI number 1831822956 to KIDNEY CARE HOME SC on July 06, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KIDNEY CARE HOME SC below.

NPI Profile for
KIDNEY CARE HOME SC

NPI Number
1831822956
Enumeration Date

(about 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KIDNEY CARE HOME SC
Primary location
6125 GREEN BAY RD STE 200
KENOSHA, WI 53142-2945
Phone: (262) 564-8636 Fax: (262) 564-8637
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
GANESH PULLA
OWNER/MEDICAL DIRECTOR
Phone: (262) 564-8636
Updated
Certification Date
Jul 06, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for KIDNEY CARE HOME SC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDWI32537500
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RN0300X
- Internal Medicine / Nephrology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
N/A
Endpoint type
Other URL
Endpoint Description
Content Type
OTHER
Affiliation
N
Endpoint Location
6125 GREEN BAY RD STE 200,
KENOSHA, WI 77025-1669