Individual provider Active NPI

Christopher F Mildenberg, MD

  • Internal Medicine Physician
  • Sturgeon Bay, WI
National Provider Identifier
1154409175
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
1154409175 Issued in WI
Practice address
30 N 18TH Ave Ste 4B
Sturgeon Bay, WI 54235-3207
Phone
(920) 818-1001
Fax
(833) 438-1838
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 49841 WI
Internal Medicine Physician 207R00000X 1154409175 WI Primary

Addresses

Primary practice location

30 N 18TH Ave Ste 4B
Sturgeon Bay, WI 54235-3207

Mailing address

30 N 18TH Ave Ste 4B
Sturgeon Bay, WI 54235-3207
Phone (920) 818-1001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20061212000188 WI Practitioner - Internal Medicine 0648297127 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Wisconsin, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Independent Physicians of Wisconsin LLCGroup PAC ID 3274842034, 42 clinicians

Practice addresses (Care Compare)

30 N 18TH Ave
Suite 4B
Sturgeon Bay, WI 54235-3207
Phone (920) 818-1001

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1154409175WIMDInternal Medicine Physician
49841WIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Medical Group-Southeast Wisconsin Inc Internal Medicine CurrentSince Sep 6, 2015 Accepting new patients
Independent Physicians of Wisconsin, LLC Internal Medicine CurrentSince Mar 4, 2025 Accepting new patients
Independent Physicians of Wisconsin, LLC CurrentSince Mar 4, 2025 Accepting new patients

Locations

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

3501 E Ramsey Ave
Cudahy, WI 53110
Phone (414) 647-7170

5434 W Capitol Dr
Ste 3
Milwaukee, WI 53216
Phone (414) 217-1229

945 N 12th St
Milwaukee, WI 53233
Phone (414) 219-5800

2900 W Oklahoma Ave
Milwaukee, WI 53215
Phone (414) 385-2590

30 N 18th Ave
Ste 4B
Sturgeon Bay, WI 54235
Phone (920) 818-1001

30 N 18th Ave
Ste 4
Sturgeon Bay, WI 54235
Phone (920) 743-6668

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

Interoperability endpoints

  • Direct secure messaging: christopher.mildenberg.1@18758.direct.athenahealth.com

Organizations & group practices 3

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 2

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1154409175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N 18TH AVE STE 4B",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542353207",
            "telephone_number": "920-818-1001",
            "fax_number": "833-438-1838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N 18TH AVE STE 4B",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542353207",
            "telephone_number": "920-818-1001",
            "fax_number": "833-438-1838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILDENBERG",
        "first_name": "CHRISTOPHER",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "49841",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "1154409175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sturgeon Bay, WI

Sources for this page

Verify at the official NPI Registry.