Organization Active NPI

Regimen Group LLC

  • Durable Medical Equipment & Medical Supplies
  • Milwaukee, WI
National Provider Identifier
1205748613
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
REGIMEN GROUP LLC
Practice address
2612 N Maryland Ave
Milwaukee, WI 53211-3777
Phone
(414) 484-6309
NPI assigned
Sep 21, 2026
Last updated
Sep 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rakesh Bolla
Title
Owner
Phone
(414) 484-6309

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

2612 N Maryland Ave
Milwaukee, WI 53211-3777

Mailing address

2612 N Maryland Ave
Milwaukee, WI 53211-3777
Phone (414) 484-6309

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1789948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789948800000",
    "number": "1205748613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2612 N MARYLAND AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532113777",
            "telephone_number": "414-484-6309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2612 N MARYLAND AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532113777",
            "telephone_number": "414-484-6309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIMEN GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-21",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A",
        "authorized_official_last_name": "BOLLA",
        "authorized_official_first_name": "RAKESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-484-6309"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.