Individual provider Active NPI

Charles Hejny, MD

  • Retina Specialist (Ophthalmology) Physician
  • Neenah, WI
National Provider Identifier
1922013671
Registry record updated Dec 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
44243020 Issued in WI
Practice address
200 Theda Clark Plaza
Suite 110
Neenah, WI 54956
Phone
(920) 751-8666
Fax
(920) 751-8676
NPI assigned
Jul 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X 44243020 WI Primary

Addresses

Primary practice location

200 Theda Clark Plaza
Suite 110
Neenah, WI 54956

Mailing address

200 Theda Clark Plaza
Suite 110
Neenah, WI 54956
Phone (920) 751-8666

Other identifiers 1

IdentifierTypeStateIssuer
34209000MedicaidWI

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
I20040602001404 WI Practitioner - Ophthalmology 5193707271 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Medical College of Wisconsin, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Wisconsin Retina Associates SCGroup PAC ID 8224029707, 7 clinicians

Practice addresses (Care Compare)

2920 Superior Ave
Suite 210
Sheboygan, WI 53081-1944
Phone (920) 476-7800

480 Pilgrim Way
Suite 1305
Green Bay, WI 54304-5279
Phone (920) 592-0111

515 S Washburn St
Suite 101a
Oshkosh, WI 54904-7951
Phone (920) 232-8060

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Wisconsin Retina Associates SC Retina Specialist CurrentSince Jul 12, 2004 Accepting new patients
University of Wisconsin Medical Foundation Inc Past Accepting new patients

Locations

442 N Westhill Blvd
Ste A
Appleton, WI 54914
Phone (920) 751-8666

1087 W Mason St
Green Bay, WI 54303
Phone (920) 499-3102

480 Pilgrim Way
Ste 1100
Green Bay, WI 54304
Phone (920) 592-0111

200 Theda Clark Medical Plz
Neenah, WI 54956
Phone (920) 358-1223

200 Theda Clark Medical Plz
Ste 110
Neenah, WI 54956
Phone (920) 751-8666

515 S Washburn St
Ste 101A
Oshkosh, WI 54904
Phone (920) 232-8060

2920 Superior Ave
Ste 210
Sheboygan, WI 53081
Phone (920) 476-7800

Interoperability endpoints

  • Direct secure messaging: chejny@newretinamd.intellechartdirect.net

Organizations & group practices 2

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 5

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": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512950400000",
    "number": "1922013671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 THEDA CLARK PLAZA",
            "address_2": "SUITE 110",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "54956",
            "telephone_number": "920-751-8666",
            "fax_number": "920-751-8676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 THEDA CLARK PLAZA",
            "address_2": "SUITE 110",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "54956",
            "telephone_number": "920-751-8666",
            "fax_number": "920-751-8676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEJNY",
        "first_name": "CHARLES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2017-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "WI",
            "license": "44243020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34209000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Neenah, WI

Sources for this page

Verify at the official NPI Registry.