Active NPI
Mila A Martinez-Mojares, MD
- Cardiovascular Disease Physician
- Troy, MI
National Provider Identifier
1053417006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 4301032030
- Practice address
- 1575 West Big Beaver Su
Medical Square of Troy
Troy, MI 48084 - Phone
- (248) 649-1410
- Fax
- (248) 649-7205
- NPI assigned
- Sep 16, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301032030 | MI | |
| Cardiovascular Disease Physician | 207RC0000X | 4301032030 | MI | Primary |
Addresses
Primary practice location
1575 West Big Beaver Su
Medical Square of Troy
Troy, MI 48084
Mailing address
540 Overbrook Rd
Bloomfield Hills, MI 48302
Phone (248) 645-0425
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1953821 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301032030 | MI | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health St. John Hospital | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1023088168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270252800000",
"number": "1053417006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 OVERBROOK RD",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "48302",
"telephone_number": "248-645-0425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1575 WEST BIG BEAVER SU",
"address_2": "MEDICAL SQUARE OF TROY",
"city": "TROY",
"state": "MI",
"postal_code": "48084",
"telephone_number": "248-649-1410",
"fax_number": "248-649-7205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ-MOJARES",
"first_name": "MILA",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-16",
"last_updated": "2010-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301032030",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MI",
"license": "4301032030",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1953821",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.