Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Surya Medical Group Sc

Q: What type of organization is Surya Medical Group Sc?

Surya Medical Group Sc is registered in NPPES as a Geriatric Medicine (Family Medicine) Physician (its primary provider taxonomy).

Geriatric Medicine (Family Medicine) Physician in Kenosha, WI · enumerated 2007 · authorized official Ganesh Pulla, Doctor.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1043415631

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)

Legal business name Surya Medical Group Sc

Practice address 6125 Green Bay Rd, Suite 100, Kenosha, WI, 53142

Phone (262) 564-8636

Enumeration date Jun 15, 2007

Last updated in NPPES Oct 5, 2007

Taxonomy & classification

207QG0300X Geriatric Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians Primary

207RN0300X Nephrology Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Ganesh Pulla

Title Doctor

Phone (262) 564-8636

Other identifiers

Identifier	Type	State	Issuer
21279800	Medicaid	WI	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is Surya Medical Group Sc?

Surya Medical Group Sc is registered in NPPES as a Geriatric Medicine (Family Medicine) Physician (its primary provider taxonomy).

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-10-05.