Active NPI
Rosanna M Ranieri, MD
- Nephrology Physician
- Kenosha, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 21517
- Practice address
- 6308 8TH Avenue
Suite 2000
Kenosha, WI 53143 - Phone
- (262) 653-5300
- Fax
- (262) 653-5412
- NPI assigned
- May 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 21517 | WI | |
| Nephrology Physician | 207RN0300X | 21517 | WI | Primary |
Addresses
Primary practice location
6308 8TH Avenue
Suite 2000
Kenosha, WI 53143
Mailing address
6308 8TH Avenue
Suite 2000
Kenosha, WI 53143
Phone (262) 653-5300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30194300 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21517 | WI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thedacare, Incorporated | Current | Accepting new patients | |
| Lakeshore Medical Clinic, LLC | Current | Accepting new patients | |
| Kenosha Pathology Consultants | Past | Accepting new patients |
Locations
4480 W Spencer St
Appleton, WI 54914
Phone (920) 738-4800
5900 S Lake Dr
Cudahy, WI 53110
Phone (414) 489-4055
S74W16775 Janesville Rd
Muskego, WI 53150
Phone (414) 422-4747
1405 Mill St
New London, WI 54961
Phone (920) 531-2000
600 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 237-5000
2000 E Layton Ave
St Francis, WI 53235
Phone (414) 744-7880
Interoperability endpoints
- rranieri348444@direct.froedtert.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Saint Francis, WI
- NPI 1003861188
-
- Family Medicine Physician
- New London, WI
- NPI 1376656959
-
- Anatomic Pathology & Clinical Pathology Physician
- Kenosha, WI
- NPI 1790812857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205452800000",
"number": "1407802002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6308 8TH AVENUE",
"address_2": "SUITE 2000",
"city": "KENOSHA",
"state": "WI",
"postal_code": "53143",
"telephone_number": "262-653-5300",
"fax_number": "262-653-5412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6308 8TH AVENUE",
"address_2": "SUITE 2000",
"city": "KENOSHA",
"state": "WI",
"postal_code": "53143",
"telephone_number": "262-653-5300",
"fax_number": "262-653-5412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANIERI",
"first_name": "ROSANNA",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-25",
"last_updated": "2008-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WI",
"license": "21517",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "WI",
"license": "21517",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30194300",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kenosha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.