Aurora Medical Group, Inc
Organization Active NPI Durable Medical Equipment & Medical Supplies · Manitowoc, WI
NPI 1801375910 · NPPES record last updated Oct 16, 2025
Key facts
- NPI
- 1801375910
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- AURORA MEDICAL GROUP, INC
- Practice address
- 3509 Dewey Ave
Manitowoc, WI 54220-5813 - Phone
- (920) 686-5731
- NPI assigned
- Aug 9, 2018
- Organization subpart
- No
Authorized official
- Name
- Kara Richardson
- Title
- Assistant Treasurer
- Phone
- (704) 631-0450
Corporate family (same tax ID) 22
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Aurora Baycare Medical Center |
Hospital | 5% Or Greater Direct Ownership Interest (62%) | Oct 26, 2010 |
| Evergreen Health Center |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jan 15, 2025 Jan 15, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181024001507 | WI | DME Supplier - Multi-Specialty - Physician | 6709794258 | Practice locations: Manitowoc, WI |
National Provider Directory
- Tax ID family
- Doctors Clinic of Elkh
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
3509 Dewey Ave
Manitowoc, WI 54220-5813
Mailing address
3509 Dewey St
Manitowoc, WI 54220-5813
Phone (920) 686-5731
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0377550140 | Other | WI | NATIONAL SUPPLIER CLEARINGHOUSE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Other providers in Manitowoc, WI
- Bryanna Kim Ashenbrener
- Assisted Living Concepts Inc
- Thomas Seppo Asuma
- Gabrielle Atkins
- David E Augustine
- Aurora Medical Group, Inc.
- Aurora Medical Group, Inc.
- Aurora Pharmacy Inc
- Aurora Pharmacy Inc
- Lynn M Baatz
All providers in Manitowoc, WI · Durable Medical Equipment & Medical Supplies in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.