Active NPI
Douglas Adam Mills, D.O.
- Internal Medicine Physician
- Park Ridge, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 125.059684
- Practice address
- 1775 W Dempster St
8 South
Park Ridge, IL 60068-1143 - Phone
- (847) 723-5871
- NPI assigned
- Mar 24, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 125.059684 | IL | Primary |
Addresses
Primary practice location
1775 W Dempster St
8 South
Park Ridge, IL 60068-1143
Mailing address
1775 W Dempster St
8 South
Park Ridge, IL 60068-1143
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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
- Midwestern University, Chicago College of Osteopathic Med, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
505 S Nolen Dr
A
Southlake, TX 76092-9167
Phone (817) 424-1525
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.98 of 100
- Quality
- 66.51
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 71.76
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 53 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 95 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.059684 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Digestive Disease Consultants, PLLC | Current | Accepting new patients | |
| Texas Digestive Disease Consultants PLLC | Current | Accepting new patients | |
| Texas Digestive Disease Consultants, PLLC | Current | Accepting new patients | |
| Advocate Lutheran General Hospital | Past | Accepting new patients |
Locations
6317 Harris Pkwy
Ste 300
Ft Worth, TX 76132
Phone (817) 361-6900
601 S Main St
Keller, TX 76248
Phone (817) 741-4347
505 S Nolen Dr
#A
Southlake, TX 76092
Phone (817) 424-1525
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
- Irving, TX
- NPI 1053397331
-
- Gastroenterology Physician
- Covington, LA
- NPI 1295428415
-
- Gastroenterology Physician
- Southlake, TX
- NPI 1649256546
-
- General Acute Care Hospital
- Park Ridge, IL
- NPI 1528388634
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1417980202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309737600000",
"number": "1043519481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1775 W DEMPSTER ST",
"address_2": "8 SOUTH",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600681143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1775 W DEMPSTER ST",
"address_2": "8 SOUTH",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600681143",
"telephone_number": "847-723-5871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLS",
"first_name": "DOUGLAS",
"middle_name": "ADAM",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-24",
"last_updated": "2011-07-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "125.059684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Park Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2011; 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.