Active NPI
Christoffer Alton Dimla Amdahl, MD
- Orthopaedic Surgery Physician
- Madison, WI
National Provider Identifier
1861070765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 104047
- Practice address
- 4602 Eastpark Blvd
Madison, WI 53718-2002 - Phone
- (608) 263-7540
- Fax
- (608) 662-4545
- NPI assigned
- Mar 31, 2021
- Last updated
- Sep 11, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Family Medicine Physician | 207Q00000X | MD27991 | ME | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | MD225485 | OR | |
| Orthopaedic Surgery Physician | 207X00000X | 104047 | WI | Primary |
Addresses
Primary practice location
4602 Eastpark Blvd
Madison, WI 53718-2002
Mailing address
7974 Uw Health CT
Middleton, WI 53562-5531
Other practice location 1
621 Science Dr
Madison, WI 53711-1074
Phone (608) 263-8850
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 86.22 of 100
- Quality
- 75.39
- Promoting interoperability
- 84
- Improvement activities
- 40
- Cost
- 75.32
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD225485 | OR | MD | Sports Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainegeneral Medical Center | Current | Accepting new patients | |
| Mainegeneral Medical Center | Current | Accepting new patients | |
| University of Oregon | Past | Accepting new patients |
Locations
15 E Chestnut St
Augusta, ME 04330
Phone (207) 626-1561
149 North St
Waterville, ME 04901
Phone (207) 622-1959
Interoperability endpoints
- christoffer.amdahl@hca7.eclinicaldirectplus.com
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.
-
- General Acute Care Hospital
- Augusta, ME
- NPI 1669423380
-
dba MaineGeneral Pharmacy
- Community/Retail Pharmacy
- Waterville, ME
- NPI 1477344976
-
- Clinic/Center
- Eugene, OR
- NPI 1760435234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789084800000",
"number": "1861070765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7974 UW HEALTH CT",
"city": "MIDDLETON",
"state": "WI",
"postal_code": "535625531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4602 EASTPARK BLVD",
"city": "MADISON",
"state": "WI",
"postal_code": "537182002",
"telephone_number": "608-263-7540",
"fax_number": "608-662-4545"
}
],
"practiceLocations": [
{
"address_1": "621 Science Dr",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "WI",
"postal_code": "537111074",
"country_code": "US",
"telephone_number": "608-263-8850",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AMDAHL",
"first_name": "CHRISTOFFER",
"middle_name": "ALTON DIMLA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-31",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ME",
"license": "MD27991",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "OR",
"license": "MD225485",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "WI",
"license": "104047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.