Individual provider Active NPI

Christopher John Walsh, MD

  • Urology Physician
  • Wauwatosa, WI
National Provider Identifier
1811966955
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
42112020 Issued in WI
Practice address
2600 N Mayfair Rd
Ste 545
Wauwatosa, WI 53226-1309
Phone
(414) 476-0430
Fax
(414) 476-3242
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 42112020 WI Primary

Addresses

Primary practice location

2600 N Mayfair Rd
Ste 545
Wauwatosa, WI 53226-1309

Mailing address

2600 N Mayfair Rd
Ste 545
Wauwatosa, WI 53226-1309
Phone (414) 476-0430

Other identifiers 2

IdentifierTypeStateIssuer
33329500MedicaidWI
340018221OtherWIMEDICARE RAILROAD

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
I20041025000025 WI Practitioner - Urology 4981591815 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Georgetown University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascension Medical Group-Southeast Wisconsin IncGroup PAC ID 8628980943, 551 clinicians
Metropolitan Urology Group, SCGroup PAC ID 6002703840, 4 clinicians

Practice addresses (Care Compare)

10101 S 27TH St
Franklin, WI 53132-7209
Phone (414) 325-4700

13950 W Capitol Dr
Brookfield, WI 53005-2441
Phone (414) 302-5400

19333 W N Ave
Brookfield, WI 53045-4132
Phone (262) 780-4111

201 N Mayfair Rd
Wauwatosa, WI 53226-4216

2600 N Mayfair Rd
Suite 545
Wauwatosa, WI 53226-1306
Phone (414) 476-0430

3801 Spring St
Mount Pleasant, WI 53405-1667
Phone (262) 687-4011

3803 Spring St
Mount Pleasant, WI 53405-1660

3807 Spring St
Mount Pleasant, WI 53405-1667
Phone (262) 687-8300

3809 Spring St
Mount Pleasant, WI 53405-1667
Phone (262) 687-5000

3811 Spring St
Mount Pleasant, WI 53405-1667

3821 Spring St
Mount Pleasant, WI 53405-1667
Phone (262) 687-8460

5000 W Chambers St
Milwaukee, WI 53210-1650
Phone (414) 447-2569

Hospital & facility affiliations

  • Ascension All Saints Hospital Hospital, Racine, WI, CCN 520096
  • Ascension SE Wisconsin Hospital Hospital, Milwaukee, WI, CCN 520136
  • Ascension St Francis Hospital Hospital, Milwaukee, WI, CCN 520078
  • Waukesha Memorial Hospital Hospital, Waukesha, WI, CCN 520008
  • Ascension Columbia St Marys Hospital Milwaukee Hospital, Milwaukee, WI, CCN 520051

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42112020WIMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Medical Group-Southeast Wisconsin Inc Urology CurrentSince Jun 20, 2013 Accepting new patients
Metropolitan Urology Group, SC Urology CurrentSince Jul 15, 2000 Accepting new patients
Wisconsin Health Fund Past Accepting new patients

Locations

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

7400 W Rawson Ave
Ste 130
Franklin, WI 53132
Phone (414) 425-8700

3821 Spring St
Mount Pleasant, WI 53405
Phone (262) 687-8460

2600 N Mayfair Rd
Ste 545
Wauwatosa, WI 53226
Phone (414) 476-0430

2600 N Mayfair Rd
Ste 580
Wauwatosa, WI 53226
Phone (414) 732-2715

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

Interoperability endpoints

  • Direct secure messaging: christopherwalsh@metro.medalliesdirect.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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1699920000000",
    "number": "1811966955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 N MAYFAIR RD",
            "address_2": "STE 545",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261309",
            "telephone_number": "414-476-0430",
            "fax_number": "414-476-3242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 N MAYFAIR RD",
            "address_2": "STE 545",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261309",
            "telephone_number": "414-476-0430",
            "fax_number": "414-476-3242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "CHRISTOPHER",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "WI",
            "license": "42112020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33329500",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "340018221",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauwatosa, WI

Sources for this page

Verify at the official NPI Registry.