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Active NPI 1679620918 Individual Practitioner Male Practitioner

Dr. Ganesh N Pulla , MD

Internal Medicine - Nephrology • Kenosha, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Ganesh Pulla, MD is a certified Internal Medicine - Nephrology practicing in Kenosha, WI. With approximately 44 years of clinical experience since completing medical education in 1982, Dr. Pulla delivers high-quality medical care to the local community at 6125 GREEN BAY RD.

Dr. Pulla is affiliated with Independent Physicians Of Wisconsin Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6125 Green Bay Rd
100

Kenosha, WI 531422928

Telephone 2625648636
Fax 2625648637
Associated Practice Facility / Clinic
🏢 V. Stephen Slana , M.d.,s.c. Facility NPI 1295887321

Medicare Profile & Education

Medical School

Other

Graduation Year

1982

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine - Nephrology in Kenosha, WI

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
44 Yrs Matches City Avg
City Avg: 44.0 Yrs
State Avg: 27.1 Yrs
Regional Practice Density
2 Specialists

Practicing in Kenosha, WI (214 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
57.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pulla (44 Years) 44 Yrs
Kenosha Specialty Average (44.0 Years) 44.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
78 20 $283.13 $120.41
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
69 20 $35.00 $15.42

Medical Specialties & State Licenses

Internal Medicine - Nephrology Primary Specialty

NUCC Taxonomy Code: 207RN0300X

State License WI 40695

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
21279800 (WI)

Hospital & Practice Group Affiliations

Independent Physicians Of Wisconsin Llc

6125 Green Bay Rd, Kenosha, WI 531422942

Phone: 2625648636

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Bharathi Pulla , MD

Family Medicine - Adolescent Medicine

NPI 1962559302

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 6125 GREEN BAY RD, 100, KENOSHA, WI 531422928 (Tel: 2625648636)

📍
Updated Business Mailing Address July 08, 2007

Registered at 6125 GREEN BAY RD, 100, KENOSHA, WI 531422928 (Tel: 2625648636)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as GANESH PULLA, M.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Internal Medicine (License #40695 in WI)

🟢
Initial NPI Registration & Enumeration January 05, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679620918
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 05, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

6125 Green Bay Rd, 100

Kenosha, WI 531422928

Phone: 2625648636

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.