Froedtert South, Inc.
NPI 1558305284 · Family Medicine Physician · Kenosha, WI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Froedtert South, Inc. is a Family Medicine Physician organization in Kenosha, WI (NPI 1558305284).
Provider details
- NPI number
- 1558305284
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Froedtert South, Inc.
- Organization subpart
- Yes
- Authorized official
- Thomas Kelley, Vice President & Cfo(262) 577-8113
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Other names (DBA / former)
- Doing business as
- Froedtert South Medical Group
Registry dates
- Enumerated
- 2006-06-15
- Last updated
- 2023-03-15
- Certified
- 2023-03-15
Frequently asked questions
- What is Froedtert South, Inc.'s NPI number?
- Froedtert South, Inc.'s National Provider Identifier (NPI) is 1558305284, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Froedtert South, Inc.?
- Froedtert South, Inc. is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Froedtert South, Inc. located?
- Froedtert South, Inc.'s practice location on file with NPPES is 6308 8th Ave, Kenosha, WI 53143.
- What is Froedtert South, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Froedtert South, Inc. is (262) 656-2718.
- Does Froedtert South, Inc. accept Medicare?
- Froedtert South, Inc. 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 Froedtert South, Inc.?
- The authorized official listed on Froedtert South, Inc.'s NPPES record is Thomas Kelley, Vice President & Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Froedtert South, Inc.'s NPI active?
- Yes — Froedtert South, Inc.'s NPI (1558305284) is active in the NPPES registry as of the last update on 2023-03-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.