Individual provider Active NPI

John P Milliken, MD

  • Gastroenterology Physician
  • Traverse City, MI
National Provider Identifier
1013048057
Registry record updated Dec 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
4301 052861 Issued in MI
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

Updated by the provider on Dec 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
10 4680183MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050118000205 MI Practitioner - Gastroenterology 9234129552 Reassigns benefits to 2 organizations

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
Kalkaska Memorial Health CenterGroup PAC ID 3577536002, 57 clinicians

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 Hospital, Kalkaska, MI, CCN 231301
  • Munson Medical Center Hospital, Traverse City, MI, CCN 230097
  • Munson Healthcare Cadillac Hospital Hospital, Cadillac, MI, CCN 230081
  • Munson Healthcare Otsego Memorial Hospital Hospital, Gaylord, MI, CCN 230133
  • Munson Healthcare Grayling Hospital Hospital, Grayling, MI, CCN 230058

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy122
Upper gastrointestinal (GI) endoscopy for acid reflux194

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301 052861MIMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Michigan Gastroenterology PLC Gastroenterology CurrentSince Jan 1, 2005 Accepting new patients
Kalkaska Memorial Health Center Gastroenterology CurrentSince Jun 19, 2010 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/BGDHCA
  • Direct secure messaging: jmilliken1@direct.mhc.net
  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.