Healthcare Provider Details

I. General information

NPI: 1508295841
Provider Name (Legal Business Name): CHRIS K ROKKAS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2013
Last Update Date: 07/17/2025
Certification Date: 07/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 PEBBLE BEACH CIR
MADISON WI
53717-1177
US

IV. Provider business mailing address

10 PEBBLE BEACH CIR
MADISON WI
53717-1177
US

V. Phone/Fax

Practice location:
  • Phone: 414-870-0191
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code204F00000X
TaxonomyTransplant Surgery Physician
License Number61494-20
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number61494-20
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: