Sheboygan Physicians Group, Sc
NPI 1477819902 · Internal Medicine Physician · Sheboygan, WI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1477819902
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kelley Renzelmann, Administrator(920) 452-6000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Medical Oncology Physician207RX0202X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 1621 N Taylor DrSheboygan, WI 53081-1990Phone: (920) 453-5432Fax: (920) 452-3594
Registry dates
- Enumerated
- 2012-04-10
- Last updated
- 2022-10-11
- Certified
- 2021-12-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.