Individual provider Active NPI

Christopher J Hussussian, MD

  • Plastic Surgery Physician
  • Waukesha, WI
National Provider Identifier
1558329441
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
46664-020 Issued in WI
Practice address
N74 W22370 Bluemound Rd
Waukesha, WI 53186
Phone
(262) 970-5600
Fax
(262) 970-5950
NPI assigned
May 2, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 46664-020 WI Primary

Addresses

Primary practice location

N74 W22370 Bluemound Rd
Waukesha, WI 53186

Mailing address

N74 W22370 Bluemound Rd
Waukesha, WI 53186
Phone (262) 970-5600

Other identifiers 1

IdentifierTypeStateIssuer
34515700MedicaidWI

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
I20040713000061 WI Practitioner - Plastic and Reconstructive Surgery 1456339902 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Yale University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CJ Hussussian MD SCGroup PAC ID 1456339993, 5 clinicians

Practice addresses (Care Compare)

N4W22370 Bluemound Rd
Suite 100
Waukesha, WI 53186-1683
Phone (262) 970-5600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision18
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46664-020WIMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bluemound Surgery Center LTD CurrentSince May 1, 2011 Accepting new patients
Plastic Surgery Associates Plastic Surgery Past Accepting new patients

Locations

6400 Industrial Loop
Greendale, WI 53129
Phone (414) 423-4100

N4W22370 Bluemound Rd
Waukesha, WI 53186
Phone (262) 970-5600

N4W22370 Bluemound Rd
Ste 100
Waukesha, WI 53186
Phone (262) 547-0199

Interoperability endpoints

  • Direct secure messaging: chussussian12236@direct.phci.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1558329441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N74 W22370 BLUEMOUND RD",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "53186",
            "telephone_number": "262-970-5600",
            "fax_number": "262-970-5950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N74 W22370 BLUEMOUND RD",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "53186",
            "telephone_number": "262-970-5600",
            "fax_number": "262-970-5950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSUSSIAN",
        "first_name": "CHRISTOPHER",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "WI",
            "license": "46664-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34515700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

Verify at the official NPI Registry.