NPIMap

Individual provider Active NPI

Christopher J. Evanich, M.D.

  • Orthopaedic Surgery Physician
  • Milwaukee, WI
National Provider Identifier
1760451850
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
32282 Issued in WI
Practice address
3237 S 16TH St
Suite 210
Milwaukee, WI 53215-4526
Phone
(414) 384-6700
Fax
(414) 384-3008
NPI assigned
Mar 14, 2006
Last updated
Feb 25, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 32282 WI Primary

Addresses

Primary practice location

3237 S 16TH St
Suite 210
Milwaukee, WI 53215-4526

Mailing address

3077 N Mayfair Rd Ste 305
Wauwatosa, WI 53222-4305
Phone (414) 384-6700

Other identifiers 1

IdentifierTypeStateIssuer
32197400MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040121000682 WI Practitioner - Orthopedic Surgery 4981505302 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Medical College of Wisconsin, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Surgeons of Wisconsin SCGroup PAC ID 5294727152, 61 clinicians
Advantage Physical Therapy and Sports Rehab, LLCGroup PAC ID 8022016336, shared by 3 NPIs, 289 clinicians

Practice addresses (Care Compare)

10101 S 27TH St
Franklin, WI 53132-7209
Phone (414) 384-6700

19333 W N Ave
Brookfield, WI 53045-4132
Phone (414) 384-6700

204 S Pine St
Burlington, WI 53105-1914
Phone (419) 221-6717

3077 N Mayfair Rd
Wauwatosa, WI 53222-4305
Phone (414) 384-6700

3111 W Rawson Ave
Suite 200
Franklin, WI 53132-8890
Phone (414) 384-6700

3620 57TH Ave
Suite 400
Kenosha, WI 53144-4925
Phone (262) 925-5250

5301 S 108TH St
Hales Corners, WI 53130-1332
Phone (419) 221-6717

9969 S 27TH St
Suite 1100
Franklin, WI 53132-9533
Phone (414) 384-6700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.61 of 100Reported as group
Quality
73.65
Promoting interoperability
87
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement68
Knee replacement135
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000WIMDFamily Medicine Physician
32282WIMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Association of Orthopedic Surgeons, LTD. Orthopaedic Surgery Current Accepting new patients
Midwest Orthopedic Specialty Hospital, LLC Orthopaedic Surgery CurrentSince Apr 1, 2021 Accepting new patients
Orthopedic Surgeons of Wisconsin, S.C. Orthopaedic Surgery CurrentSince Jan 10, 2010 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc Orthopaedic Surgery CurrentSince Jul 1, 2011 Accepting new patients
Midwest Orthopedic Specialty Hospital, LLC CurrentSince Apr 1, 2021 Accepting new patients

Locations

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

17000 W North Ave
Ste 201E
Brookfield, WI 53005
Phone (414) 643-8800

3111 W Rawson Ave
Ste 200
Franklin, WI 53132
Phone (414) 325-4320

3111 W Rawson Ave
Ste 215
Franklin, WI 53132
Phone (414) 761-0727

7095 S Ballpark Dr
Unit 100
Franklin, WI 53132
Phone (414) 817-6620

9969 S 27th St
Ste 1100
Franklin, WI 53132

2801 W Kinnickinnic River Pkwy
Ste 575
Milwaukee, WI 53215
Phone (414) 643-8800

3237 S 16th St
Ste 210
Milwaukee, WI 53215
Phone (414) 643-4020

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

2323 N Mayfair Rd
Ste 300
Wauwatosa, WI 53226
Phone (414) 443-9862

3077 N Mayfair Rd
Ste 100
Wauwatosa, WI 53222
Phone (414) 771-5900

3077 N Mayfair Rd
Ste 305
Wauwatosa, WI 53222
Phone (414) 258-3500

Interoperability endpoints

  • Direct secure messaging: cevanich@oiw.ssdirect.aprima.com
  • Direct secure messaging: christopher.evanich.1@32957.direct.athenahealth.com

Organizations & group practices 5

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 9

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1760451850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3077 N MAYFAIR RD STE 305",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532224305",
            "telephone_number": "414-384-6700",
            "fax_number": "414-727-1058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3237 S 16TH ST",
            "address_2": "SUITE 210",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532154526",
            "telephone_number": "414-384-6700",
            "fax_number": "414-384-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANICH",
        "first_name": "CHRISTOPHER",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WI",
            "license": "32282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32197400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.