Active NPI
Michael George Chrissos, MD
- Orthopaedic Surgery Physician
- Ypsilanti, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 4301072198
- Practice address
- 5315 Elliott Dr
Suite #304
Ypsilanti, MI 48197-8634 - Phone
- (734) 712-0655
- Fax
- (734) 712-0611
- NPI assigned
- Mar 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 4301072198 | MI | Primary |
Addresses
Primary practice location
5315 Elliott Dr
Suite #304
Ypsilanti, MI 48197-8634
Mailing address
PO Box 0446 24 Frank Lloyd Wright Dr.
Lobby J Iha
Ann Arbor, MI 48106
Phone (734) 747-6766
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3482173 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of Toledo College of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5315 Elliott Dr
Suite 304
Ypsilanti, MI 48197-8634
Phone (734) 712-0655
Hospital & facility affiliations
- Elara Caring
- Trinity Health at Home- Southeast Michigan
- Trinity Health Ann Arbor Hospital
- Chelsea Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Knee replacement | 19 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 11 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 18 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iha Health Services Corporation | Orthopaedic Surgery | Current | Accepting new patients |
| Iha Health Services Corporation | Current | Accepting new patients | |
| Iha Health Service Corporation | Current | Accepting new patients | |
| Iha Health Services Corporation | Past | Accepting new patients |
Locations
24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400
128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677
44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700
5333 McAuley Dr
Rm 2115
Ypsilanti, MI 48197
Phone (734) 712-3971
5315 Elliott Dr
Ste 201
Ypsilanti, MI 48197
Phone (734) 712-2230
5315 Elliott Dr
Ste 304
Ypsilanti, MI 48197
Phone (734) 712-0655
Interoperability endpoints
- mchrissos37545@direct.trinity-health.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Canton, MI
- NPI 1457408965
-
- Obstetrics & Gynecology Physician
- Ypsilanti, MI
- NPI 1831053701
-
- Orthopaedic Surgery Physician
- Ypsilanti, MI
- NPI 1093174237
-
- Family Medicine Physician
- Milan, MI
- NPI 1467509067
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Jackson, MI
- NPI 1588642110
-
- General Acute Care Hospital
- Chelsea, MI
- NPI 1992761985
-
- General Acute Care Hospital
- Ypsilanti, MI
- NPI 1780658443
-
- Home Health Agency
- Livonia, MI
- NPI 1508823774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462147200000",
"number": "1174583983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 0446 24 FRANK LLOYD WRIGHT DR.",
"address_2": "LOBBY J IHA",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "48106",
"telephone_number": "734-747-6766",
"fax_number": "734-222-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5315 ELLIOTT DR",
"address_2": "SUITE #304",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481978634",
"telephone_number": "734-712-0655",
"fax_number": "734-712-0611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISSOS",
"first_name": "MICHAEL",
"middle_name": "GEORGE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2016-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MI",
"license": "4301072198",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3482173",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.