Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ganesh N Pulla, MD

Individual provider Nephrology Physician · NPI 1679620918

Ganesh N Pulla, MD is a Nephrology in Kenosha, Wisconsin. Qualified in 1982, 44 years ago. Practices with Independent Physicians of Wisconsin LLC, a 41-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
44
Licensed in
WI
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6125 Green Bay Rd 100
Kenosha, WI 53142-2928
Phone: (262) 564-8636
Fax: (262) 564-8637
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 40695 (WI)

Record details

NPI number1679620918
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 5, 2007
Last updated in NPPESJuly 8, 2007
Mailing address6125 Green Bay Rd, 100, Kenosha, WI 53142-2928

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEPHROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1982 (44 years in practice)
Group practice Independent Physicians Of Wisconsin Llc — 41 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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