Individual provider Active NPI

Charles McCanna, M.D.

  • Ophthalmology Physician
  • Milwaukee, WI
National Provider Identifier
1295141893
Registry record updated Aug 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
69110 Issued in WI
Practice address
2500 W Layton Ave
Milwaukee, WI 53221
Phone
(414) 281-0424
NPI assigned
Jul 3, 2014
Last updated
Aug 16, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 69110 WI Primary

Addresses

Primary practice location

2500 W Layton Ave
Milwaukee, WI 53221

Mailing address

2500 W Layton Ave
Milwaukee, WI 53221-5420
Phone (608) 333-3215

Other practice location 1

6020 S Packard Ave
Cudahy, WI 53110-3028
Phone (414) 769-6900

Other practice location 2

6080 S 108th St
Hales Corners, WI 53130-2557
Phone (414) 425-9002

Other practice location 3

14555 W National Ave Ste 130
New Berlin, WI 53151-4483
Phone (262) 784-3937

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
I20180726002694 WI Practitioner - Ophthalmology 4789931387 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Wisconsin School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ophthalmology Associates S CGroup PAC ID 6204723869, 9 clinicians

Practice addresses (Care Compare)

6020 S Packard Ave
Cudahy, WI 53110-3028
Phone (414) 769-6900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.27 of 100Reported as group
Quality
100
Improvement activities
40
Cost
74.23

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery126

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
69110WIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmology Associates S C Ophthalmology Current Accepting new patients
Ophthalmology Associates S C Ophthalmology CurrentSince Aug 17, 2018 Accepting new patients
Ophthalmology Associates S C Ophthalmology CurrentSince Aug 17, 2018 Accepting new patients

Locations

6020 S Packard Ave
Cudahy, WI 53110
Phone (414) 294-4660

4600 W Loomis Rd
Ste 310
Greenfield, WI 53220
Phone (414) 281-0424

6080 S 108th St
Hales Corners, WI 53130
Phone (414) 282-5314

2500 W Layton Ave
Ste 110
Milwaukee, WI 53221
Phone (414) 281-0424

14300 W National Ave
Ste 200
New Berlin, WI 53151
Phone (262) 784-3937

14555 W National Ave
Ste 130
New Berlin, WI 53151
Phone (262) 784-3937

Interoperability endpoints

  • Direct secure messaging: cmccanna@oasc.intellechartdirect.net

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": "1404345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1295141893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W LAYTON AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532215420",
            "telephone_number": "608-333-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W LAYTON AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53221",
            "telephone_number": "414-281-0424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6020 S Packard Ave",
            "address_purpose": "LOCATION",
            "city": "Cudahy",
            "state": "WI",
            "postal_code": "531103028",
            "country_code": "US",
            "telephone_number": "414-769-6900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6080 S 108th St",
            "address_purpose": "LOCATION",
            "city": "Hales Corners",
            "state": "WI",
            "postal_code": "531302557",
            "country_code": "US",
            "telephone_number": "414-425-9002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14555 W National Ave Ste 130",
            "address_purpose": "LOCATION",
            "city": "New Berlin",
            "state": "WI",
            "postal_code": "531514483",
            "country_code": "US",
            "telephone_number": "262-784-3937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCANNA",
        "first_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-03",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "69110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.