Surya Medical Group Sc
NPI 1043415631 · Geriatric Medicine (Family Medicine) Physician · Kenosha, WI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Surya Medical Group Sc is a Geriatric Medicine (Family Medicine) Physician organization in Kenosha, WI (NPI 1043415631).
Provider details
- NPI number
- 1043415631
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ganesh Pulla, Doctor(262) 564-8636
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Nephrology Physician207RN0300X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-06-15
- Last updated
- 2007-10-05
Frequently asked questions
- What is Surya Medical Group Sc's NPI number?
- Surya Medical Group Sc's National Provider Identifier (NPI) is 1043415631, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Surya Medical Group Sc?
- Surya Medical Group Sc is classified in the NPPES registry as Geriatric Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Surya Medical Group Sc located?
- Surya Medical Group Sc's practice location on file with NPPES is 6125 Green Bay Rd, Kenosha, WI 53142-2928.
- What is Surya Medical Group Sc's phone number?
- The practice phone number listed in the NPPES registry for Surya Medical Group Sc is (262) 564-8636.
- Does Surya Medical Group Sc accept Medicare?
- Surya Medical Group Sc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Surya Medical Group Sc?
- The authorized official listed on Surya Medical Group Sc's NPPES record is Ganesh Pulla, Doctor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Surya Medical Group Sc's NPI active?
- Yes — Surya Medical Group Sc's NPI (1043415631) is active in the NPPES registry as of the last update on 2007-10-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.