Organization Active NPI

Milwaukee Nephrologists, S.C.

  • Nephrology Physician
  • Milwaukee, WI
National Provider Identifier
1982763405
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
MILWAUKEE NEPHROLOGISTS, S.C.
Practice address
2901 W Kinnickinnic River Pkwy Ste 413
Milwaukee, WI 53215-3660
Phone
(414) 383-7744
Fax
(414) 383-8089
NPI assigned
Dec 8, 2006
Last updated
Jun 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Authorized official

Name
Dr. Lisa M Rich, M.D.NPI 1518931195
Title
President
Phone
(414) 777-5200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X NU Primary

Addresses

Primary practice location

2901 W Kinnickinnic River Pkwy Ste 413
Milwaukee, WI 53215-3660

Mailing address

2514 S 102ND St Ste 120
West Allis, WI 53227-2142
Phone (414) 777-5200

Other identifiers 1

IdentifierTypeStateIssuer
32704000MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040210000576 WI Part B Supplier - Clinic/Group Practice 4385538446 Receives reassigned benefits from 24 practitioners
Practice locations: Cedarburg, WI; Glendale, WI; Milwaukee, WI; Wauwatosa, WI

National Provider Directory

National Provider Directory

Locations

N54W6135 Mill St
Ste 600
Cedarburg, WI 53012
Phone (262) 261-0094

5650 N Green Bay Ave
Ste 210
Glendale, WI 53209
Phone (414) 247-9530

1575 N Rivercenter Dr
Ste 104
Milwaukee, WI 53212
Phone (414) 274-7520

2901 W Kinnickinnic River Pkwy
Ste 405
Milwaukee, WI 53215
Phone (414) 383-7744

2901 W Kinnickinnic River Pkwy
Ste 413
Milwaukee, WI 53215
Phone (414) 259-8917

601 N 99th St
Ste 302
Wauwatosa, WI 53226
Phone (414) 431-2186

2514 S 102nd St
Ste 120
West Allis, WI 53227

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71975

Practitioners & affiliated clinicians

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781481600000",
    "number": "1982763405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2514 S 102ND ST STE 120",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272142",
            "telephone_number": "414-777-5200",
            "fax_number": "414-777-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 W KINNICKINNIC RIVER PKWY STE 413",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532153660",
            "telephone_number": "414-383-7744",
            "fax_number": "414-383-8089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILWAUKEE NEPHROLOGISTS, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A",
        "authorized_official_last_name": "RICH",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-777-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32704000",
            "state": "WI"
        }
    ],
    "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 Jun 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.