Individual provider Active NPI

Chris M Olenech V, DPM

  • Foot & Ankle Surgery Podiatrist
  • Lincoln Park, MI
National Provider Identifier
1225032196
Registry record updated Aug 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
CO001358 Issued in MI
Practice address
3976 Dix Hwy
Lincoln Park, MI 48146-3940
Phone
(313) 386-5750
Fax
(313) 386-0579
NPI assigned
Jun 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X CO001358 MI Primary

Addresses

Primary practice location

3976 Dix Hwy
Lincoln Park, MI 48146-3940

Mailing address

3976 Dix Hwy
Lincoln Park, MI 48146-3940
Phone (313) 386-5750

Other identifiers 12

IdentifierTypeStateIssuer
107182OtherMICARE CHOICES
4034087OtherMIAETNA
2733214MedicaidMI
480H219870OtherMIBLUE CARE NETWORK
QMXPR0036301OtherMIMOLINA
4858251630OtherMIBCBS
5825163OtherMIBCBS
C3706OtherMIM-CARE
1001793OtherMICIGNA
480009053OtherMIRAILROAD MEDICARE
5825163OtherMIBCN
U06128OtherMIHAP

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061117000413 MI Practitioner - Podiatry 0345248795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3976 Dix Hwy
Lincoln Park, MI 48146-3940
Phone (313) 386-5750

Hospital & facility affiliations

  • Wyandotte Hospital and Medical Center Hospital, Wyandotte, MI, CCN 230146

Merit-based Incentive Payment System (MIPS)

Final score
93.76 of 100Reported as individual
Quality
87.52
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue89
Removal of skin lesions360
Removal of nail tissue1147
Skin biopsy11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CO001358MIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Partners in Foot Health P.C. Foot & Ankle Surgery CurrentSince Feb 1, 1990 Accepting new patients
Giaimo Mobile Podiatry of WV PLLC Past Accepting new patients
Onsight, Inc. Past Accepting new patients

Locations

3976 Dix Hwy
Lincoln Park, MI 48146
Phone (313) 386-5750

Interoperability endpoints

  • Direct secure messaging: colenech@pfh.mdlogic.direct-ci.com
  • Direct secure messaging: colenech57627@direct.hfhs.org

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 and National Provider Directory roles.

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": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312416000000",
    "number": "1225032196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3976 DIX HWY",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481463940",
            "telephone_number": "313-386-5750",
            "fax_number": "313-386-0579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3976 DIX HWY",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481463940",
            "telephone_number": "313-386-5750",
            "fax_number": "313-386-0579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLENECH",
        "first_name": "CHRIS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "name_suffix": "V",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2011-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "CO001358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE CHOICES",
            "identifier": "107182",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4034087",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2733214",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "480H219870",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA",
            "identifier": "QMXPR0036301",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4858251630",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5825163",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M-CARE",
            "identifier": "C3706",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1001793",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480009053",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN",
            "identifier": "5825163",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "U06128",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln Park, MI

Sources for this page

Verify at the official NPI Registry.