GANESH N PULLA (M.D) – Nephrology Physician, NPI 1679620918

GANESH N PULLA (M.D) is a healthcare provider. based in Kenosha, Wisconsin. specializing in NEPHROLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D. They hold a License No. 40695 (WI). The NPI Number for GANESH N PULLA (M.D) is 1679620918

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
GANESH N PULLA (M.D)
NPI
1679620918
Phone
(262) 564-8636
Address
6125 GREEN BAY RD
Enumeration Date
5 January 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2625648636
Graduation Year
1982 (44 years ago)
PAC ID
0345218384
Professional Enrollment ID
I20040920000113
Address ID
WI531422928KE6125XRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

240 NEPHROLOGY in WI

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Provider Addresses for GANESH N PULLA (M.D)

  • Green Bay Road, Kenosha, Kenosha County, Wisconsin, 53142, United States

    100

    KENOSHA, WI 531422928

    Phone: (262) 564-8636

    Fax: (262) 564-8637

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 49 Open Payments records for all available years, with a total value of $2,545.

Total Amount is formed as General ($2,545) + Research ($0) + Ownership ($0) = $2,545.

Last reported payment date: 2024-11-22 • Largest payer in this snapshot: Bard Peripheral Vascular, Inc. ($1,861).

Total Amount

$2,545

General + Research + Ownership

Payments

49

Total payment records

General Amount

$2,545

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-22

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-09-20

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040920000113INephrologyWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes9027$0
36415Insertion of needle into vein for collection of blood sample3420$0
View full utilization report →

Insurance plans in this area (ZIP 53142)

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Reviews

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Frequently asked questions

What NPI should I save for GANESH N PULLA (M.D)?
Save NPI 1679620918 if you need a stable reference for GANESH N PULLA (M.D).
Is GANESH N PULLA (M.D) currently active in the NPI registry?
CMS-published data lists GANESH N PULLA (M.D) as an active registrant.
What does GANESH N PULLA (M.D) treat or focus on?
Patients typically see GANESH N PULLA (M.D) under the specialty Nephrology Physician. Clinical services aligned with this taxonomy classification.
Where is GANESH N PULLA (M.D)'s primary listing?
We display Kenosha, Wisconsin because that is what the record indicates for GANESH N PULLA (M.D).
Is GANESH N PULLA (M.D) a real provider?
This page reflects official NPPES data for NPI 1679620918. Always confirm identity and privileges with the practice and licensing boards.

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