Wisconsin Renal Care Group, L.L.C.

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

WISCONSIN RENAL CARE GROUP, L.L.C.

Practice address

377 W River Woods Pkwy Ste 111
Milwaukee, WI 53212-1088

Phone

(414) 967-9321

Fax

(414) 967-9332

NPI assigned

Aug 22, 2006

Organization subpart

Yes

Parent organization

FRESENIUS MEDICAL CARE HOLDINGS, INC.As reported in NPPES

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

Authorized official

Name

Barry L. Blanton

Title

Vice President

Phone

(781) 699-9000

Specialties & licenses 1

Addresses

Other names 1

• FRESENIUS KIDNEY CARE SHOREWOOD Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Wisconsin Renal Care Group, L.L.C.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Milwaukee, WI
  • NPI 1588806830

  7719038454

  Same PAC ID
• Wisconsin Renal Care Group, L.L.C.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • West Allis, WI
  • NPI 1669588596

  7719038454

  Same PAC ID
• Wisconsin Renal Care Group, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Brookfield, WI
  • NPI 1841792603

  7719038454

  Same PAC ID

Listed as

Fresenius Kidney Care ShorewoodCCN 522531

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Apr 1, 1999

Medicare certification status

Terminated Voluntary: merger or closure, May 1, 2026From the Provider of Services file

Chain

Fresenius Medical Care

Dialysis stations

25

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• The Medical College of Wisconsin, Inc.

  • Internal Medicine Physician
  • Milwaukee, WI
  • NPI 1699720086

  Member Of

  NPD member
• RCG University Division, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Lexington, KY
  • NPI 1891807616

  Member Of

  NPD member

Locations

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Naveet S Bal, MD

  • Nephrology Physician
  • New Berlin, WI
  • NPI 1578773131

  Dialysis facility

  Care Compare affiliation Name & address match
• Ira Howard Blau, M.D.

  • Nephrology Physician
  • Milwaukee, WI
  • NPI 1063862456

  Dialysis facility

  Care Compare affiliation Name & address match
• Samuel S Blumenthal, MD

  • Nephrology Physician
  • Milwaukee, WI
  • NPI 1437100880

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1578679403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 W RIVER WOODS PKWY STE 111",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532121088",
            "telephone_number": "414-967-9321",
            "fax_number": "414-967-9332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 W RIVER WOODS PKWY STE 111",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532121088",
            "telephone_number": "414-967-9321",
            "fax_number": "414-967-9332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISCONSIN RENAL CARE GROUP, L.L.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2006-08-22",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A",
        "authorized_official_last_name": "BLANTON",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "781-699-9000"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "FRESENIUS KIDNEY CARE SHOREWOOD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.