Individual provider Active NPI

Isaac P Mills, DO

  • Family Medicine Physician
  • Fort Drum, NY
National Provider Identifier
1023561107
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3232 Issued in WV
Practice address
11050 Mount Belvedere Blvd
Fort Drum, NY 13602
Phone
(315) 772-2778
NPI assigned
Jul 26, 2016
Last updated
Aug 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 3232 WV
Family Medicine Physician 207Q00000X 3232 WV Primary

Addresses

Primary practice location

11050 Mount Belvedere Blvd
Fort Drum, NY 13602

Mailing address

USA Meddac
11050 Mt Belvedere Blvd
Fort Drum, NY 13602
Phone (315) 772-2778

Other practice location 1

115 Summers Hospital Rd
Hinton, WV 25951-5172
Phone (304) 466-1000

Other practice location 2

306 Stanaford Rd
Beckley, WV 25801-3142
Phone (304) 255-3000

Other practice location 3

501 Morris St
Charleston, WV 25301-1326
Phone (304) 647-6006

Other practice location 4

6600 Van Aalst Blvd
Fort Benning, GA 31905-2102
Phone (762) 408-2501

Other practice location 5

1320 Maplewood Ave
Ronceverte, WV 24970-8016
Phone (304) 647-4411

Other names 1

  • Dr. Isaac Patton Mills Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20190619002473 WV Practitioner - Family PracticePractitioner - Emergency Medicine 5698019065 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Richbend Emergency Physicians, PLLC Emergency Medicine CurrentSince Mar 1, 2025 Accepting new patients
Charleston Area Medical Center, Inc. Current Accepting new patients
Summers Emergency Physicians LLC Emergency Medicine CurrentSince Jun 29, 2019 Accepting new patients
Beckley Emergency Physicians LLC Emergency Medicine CurrentSince Jun 29, 2019 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Jun 27, 2023 Accepting new patients
Health Care Alliance, Inc. Emergency Medicine CurrentSince Apr 15, 2023 Accepting new patients
Charleston Area Medical Center, Inc. Emergency Medicine CurrentSince Jun 27, 2023 Accepting new patients

Locations

306 Stanaford Rd
Beckley, WV 25801
Phone (304) 255-3373

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

115 Summers Hospital Rd
Hinton, WV 25951
Phone (304) 466-2918

20 Hospital Dr
Logan, WV 25601
Phone (304) 792-1101

1320 Maplewood Ave
Ronceverte, WV 24970
Phone (304) 645-0870

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1023561107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "USA MEDDAC",
            "address_2": "11050 MT BELVEDERE BLVD",
            "city": "FORT DRUM",
            "state": "NY",
            "postal_code": "13602",
            "telephone_number": "315-772-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11050 MOUNT BELVEDERE BLVD",
            "city": "FORT DRUM",
            "state": "NY",
            "postal_code": "13602",
            "telephone_number": "315-772-2778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Summers Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Hinton",
            "state": "WV",
            "postal_code": "259515172",
            "country_code": "US",
            "telephone_number": "304-466-1000",
            "fax_number": "304-466-2928",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "306 Stanaford Rd",
            "address_purpose": "LOCATION",
            "city": "Beckley",
            "state": "WV",
            "postal_code": "258013142",
            "country_code": "US",
            "telephone_number": "304-255-3000",
            "fax_number": "304-255-3534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 Morris St",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253011326",
            "country_code": "US",
            "telephone_number": "304-647-6006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6600 Van Aalst Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Benning",
            "state": "GA",
            "postal_code": "319052102",
            "country_code": "US",
            "telephone_number": "762-408-2501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1320 Maplewood Ave",
            "address_purpose": "LOCATION",
            "city": "Ronceverte",
            "state": "WV",
            "postal_code": "249708016",
            "country_code": "US",
            "telephone_number": "304-647-4411",
            "fax_number": "304-793-2277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLS",
        "first_name": "ISAAC",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-26",
        "last_updated": "2023-08-09",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "3232",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "3232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ISAAC",
            "last_name": "MILLS",
            "middle_name": "PATTON",
            "prefix": "DR.",
            "credential": "DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Drum, NY

Sources for this page

Verify at the official NPI Registry.