Active NPI
John P Milliken, MD
- Gastroenterology Physician
- Traverse City, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 4301 052861
- Practice address
- 224 Circle Dr
Traverse City, MI 49684-2342 - Phone
- (231) 935-0525
- Fax
- (231) 935-0529
- NPI assigned
- Mar 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hepatology Physician | 207RI0008X | 4301052861 | MI | |
| Gastroenterology Physician | 207RG0100X | 4301 052861 | MI | Primary |
Addresses
Primary practice location
224 Circle Dr
Traverse City, MI 49684-2342
Mailing address
224 Circle Dr
Traverse City, MI 49684-2342
Phone (231) 935-0525
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10 4680183 | Medicaid | MI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | john.milliken@nmgast.eclinicaldirectplus.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- 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 Compare- Specialty
- Gastroenterology
- Education
- Wayne State University School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
224 Circle Dr
Traverse City, MI 49684-2342
224 Circle Dr a
Traverse City, MI 49684-2342
419 S Coral St
Kalkaska, MI 49646-2503
Phone (231) 258-7500
Hospital & facility affiliations
- Kalkaska Memorial Health Center
- Munson Medical Center
- Munson Healthcare Cadillac Hospital
- Munson Healthcare Otsego Memorial Hospital
- Munson Healthcare Grayling Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 122 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 194 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301 052861 | MI | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Michigan Gastroenterology PLC | Gastroenterology | Current | Accepting new patients |
| Kalkaska Memorial Health Center | Gastroenterology | Current | Accepting new patients |
| Kalkaska Memorial Health Center | Gastroenterology | Past | Accepting new patients |
Locations
419 S Coral St
Kalkaska, MI 49646
Phone (231) 258-7500
224 Circle Dr
Traverse City, MI 49684
Phone (231) 932-4912
224 Circle Dr
Ste A
Traverse City, MI 49684
Phone (231) 935-0525
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BGDHCA
- jmilliken1@direct.mhc.net
- john.milliken@nmgast.eclinicaldirectplus.com
Organizations & group practices 4
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.
-
- Gastroenterology Physician
- Traverse City, MI
- NPI 1659376077
-
- Family Medicine Physician
- Kalkaska, MI
- NPI 1013183060
-
- Family Medicine Physician
- Kalkaska, MI
- NPI 1376799650
Gastroenterology
-
- Rural Health Clinic/Center
- Kalkaska, MI
- NPI 1306968102
Gastroenterology
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Kalkaska, MI
- NPI 1497751309
-
- General Acute Care Hospital
- Cadillac, MI
- NPI 1841696754
-
- Rural Acute Care Hospital
- Grayling, MI
- NPI 1083010953
-
- General Acute Care Hospital
- Gaylord, MI
- NPI 1124028972
-
- General Acute Care Hospital
- Traverse City, MI
- NPI 1952307852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608681600000",
"number": "1013048057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 CIRCLE DR",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496842342",
"telephone_number": "231-935-0525",
"fax_number": "231-935-0529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 CIRCLE DR",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496842342",
"telephone_number": "231-935-0525",
"fax_number": "231-935-0529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLIKEN",
"first_name": "JOHN",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-09",
"last_updated": "2020-12-23",
"certification_date": "2020-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0008X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hepatology",
"state": "MI",
"license": "4301052861",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MI",
"license": "4301 052861",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10 4680183",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "john.milliken@nmgast.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "224 Circle Dr",
"city": "Traverse City",
"state": "MI",
"country_code": "US",
"postal_code": "496842342",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; 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.