Individual provider Active NPI

Christopher C Max, M.D.

  • Surgery Physician
  • Utica, NY
National Provider Identifier
1063592665
Registry record updated Apr 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
148330 Issued in NY
Practice address
1676 Sunset Ave
Faxton 4TH Floor
Utica, NY 13502-5416
Phone
(315) 624-8110
Fax
(315) 624-8115
NPI assigned
Oct 17, 2006
Last updated
Apr 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 148330 NY Primary

Addresses

Primary practice location

1676 Sunset Ave
Faxton 4TH Floor
Utica, NY 13502-5416

Mailing address

1676 Sunset Ave
Faxton 4TH Floor
Utica, NY 13502-5416
Phone (315) 624-8110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051018000303 NY Practitioner - General SurgeryPractitioner - Vascular Surgery 4385669779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MVHS IncGroup PAC ID 2769380252, 330 clinicians

Practice addresses (Care Compare)

1676 Sunset Ave
Utica, NY 13502-5416
Phone (315) 625-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.28 of 100Reported as group
Quality
75.06
Promoting interoperability
100
Improvement activities
40
Cost
69.26

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)30
Mastectomy80
Varicose vein removal1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
148330NYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
MVHS Inc CurrentSince Jan 1, 2017 Accepting new patients
MVHS Inc CurrentSince Jan 1, 2017 Accepting new patients
MVHS Inc Past Accepting new patients
MVHS Inc Past Accepting new patients
Max & Blom MD PC PastSince Apr 1, 2009 Accepting new patients
Surgical Associates of Utica, PC PastSince Jul 1, 1990 Accepting new patients

Locations

1656 Champlin Ave
New Hartford, NY 13413
Phone (315) 624-6222

4401 Middle Settlement Rd
Ste 208
New Hartford, NY 13413
Phone (315) 797-3430

1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567

1676 Sunset Ave
Fl 4
Utica, NY 13502
Phone (315) 624-4690

1676 Sunset Ave
Fl Fourth
Utica, NY 13502
Phone (315) 624-8110

2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100

2209 Genesee St
Ofc
Utica, NY 13501
Phone (315) 801-3282

Interoperability endpoints

  • Direct secure messaging: cmax13536@mvhealthsystem.direct-ci.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523923200000",
    "number": "1063592665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1676 SUNSET AVE",
            "address_2": "FAXTON 4TH FLOOR",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025416",
            "telephone_number": "315-624-8110",
            "fax_number": "315-624-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1676 SUNSET AVE",
            "address_2": "FAXTON 4TH FLOOR",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025416",
            "telephone_number": "315-624-8110",
            "fax_number": "315-624-8115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAX",
        "first_name": "CHRISTOPHER",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2018-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "148330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

Verify at the official NPI Registry.