Active NPI
Chad Michael Ennis, M.D.
- Otolaryngology Physician
- Madison, WI
National Provider Identifier
1184010977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 66028-20
- Practice address
- 1 S Park St FL 6
Madison, WI 53715-1375 - Phone
- (608) 287-2500
- NPI assigned
- Apr 8, 2015
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 66028-20 | WI | Primary |
Addresses
Primary practice location
1 S Park St FL 6
Madison, WI 53715-1375
Mailing address
7974 Uw Health CT
Middleton, WI 53562-5531
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cennis17297@direct.uwhealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 S Park St
Madison, WI 53715-1375
Phone (608) 287-2000
1253 N Alpine Rd
Sa Brookside Specialty Center
Rockford, IL 61107-2201
Phone (779) 696-9201
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.32 of 100
- Quality
- 87.78
- Promoting interoperability
- 77
- Improvement activities
- 40
- Cost
- 75.8
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66028-20 | WI | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swedishamerican Hospital | Current | Accepting new patients | |
| Swedishamerican Hospital | Current | Accepting new patients | |
| University of Wisconsin Medical Foundation, Inc | Current | Accepting new patients | |
| University of Wisconsin Medical Foundation, Inc | Current | Accepting new patients | |
| Swedishamerican Hospital | Otolaryngology | Current | Accepting new patients |
| University of Wisconsin Medical Foundation Inc | Past | Accepting new patients |
Locations
6824 Newburg Rd
Rockford, IL 61108
Phone (779) 696-7610
2550 Charles St
Rockford, IL 61108
Phone (779) 696-7285
1253 N Alpine Rd
Rockford, IL 61107
Phone (779) 696-9201
1 S Park St
Fl 6
Madison, WI 53715
Phone (608) 287-2500
600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325
1 S Park St
Madison, WI 53715
Phone (608) 287-2000
7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Middleton, WI
- NPI 1598784555
-
- Health Educator
- Madison, WI
- NPI 1487414082
-
- Family Medicine Physician
- Rockford, IL
- NPI 1073675187
-
- Community/Retail Pharmacy
- Rockford, IL
- NPI 1306635982
-
- Durable Medical Equipment & Medical Supplies
- Cross Plains, WI
- NPI 1174583363
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Madison, WI
- NPI 1114920048
-
- General Acute Care Hospital
- Madison, WI
- NPI 1922043744
-
- General Acute Care Hospital
- Rockford, IL
- NPI 1760542732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612483200000",
"number": "1184010977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7974 UW HEALTH CT",
"city": "MIDDLETON",
"state": "WI",
"postal_code": "535625531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 S PARK ST FL 6",
"city": "MADISON",
"state": "WI",
"postal_code": "537151375",
"telephone_number": "608-287-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENNIS",
"first_name": "CHAD",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-08",
"last_updated": "2021-02-05",
"certification_date": "2021-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "WI",
"license": "66028-20",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cennis17297@direct.uwhealth.org",
"affiliation": "N",
"address_1": "1 S Park St Fl 6",
"city": "Madison",
"state": "WI",
"country_code": "US",
"postal_code": "537151375",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; 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.