Active NPI
David M Millili, DPM
- Foot Surgery Podiatrist
- Camden, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- MD002113
- Practice address
- 3 Cooper PLZ
Suite 502
Camden, NJ 08103-1438 - Phone
- (856) 342-3113
- NPI assigned
- Oct 24, 2006
- 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 |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | MD002113 | NJ | Primary |
Addresses
Primary practice location
3 Cooper PLZ
Suite 502
Camden, NJ 08103-1438
Mailing address
1 Federal St # 200
Camden, NJ 08103-1088
Phone (856) 356-4924
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5448301 | Medicaid | NJ | |
| 0352328000 | Other | NJ | AMERIHEALTH/KEYSTONE/IBC |
| MD00211300 | Other | NJ | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2 Plaza Dr
Suite 201
Sewell, NJ 08080-9207
Phone 85627041001
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.23 of 100
- Quality
- 77.64
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 68.41
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 32 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD002113 | NJ | MD | Foot Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cooper Surgical Associates, PA | Current | Accepting new patients | |
| Cooper Surgical Associates, PA | Current | Accepting new patients |
Locations
3 Cooper Plz
Rm 403
Camden, NJ 08103
Phone (856) 342-2439
1 Federal St
Ste SW200
Camden, NJ 08103
Phone (856) 356-4920
1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425
3 Cooper Plz
Rm 502
Camden, NJ 08103
Phone (856) 342-2921
3 Cooper Plz
Rm 411
Camden, NJ 08103
Phone (856) 342-2270
2 Plaza Dr
Ste 201
Sewell, NJ 08080
Phone 85627041001
900 Centennial Blvd
Ste 203
Voorhees, NJ 08043
Phone (856) 325-6674
900 Centennial Blvd
Bldg 1
Voorhees, NJ 08043
Phone (856) 325-6535
1652 Cooper St
Woodbury, NJ 08096
Phone (856) 227-5312
Interoperability endpoints
- dmillili3248@direct.cooperhealth.edu
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Voorhees, NJ
- NPI 1427177195
-
- Surgery Physician
- Camden, NJ
- NPI 1649217514
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Pennsauken, NJ
- NPI 1275580615
-
- Home Health Agency
- Moorestown, NJ
- NPI 1366716565
-
- Home Health Agency
- Woodbury, NJ
- NPI 1710284005
-
- Home Health Agency
- Egg Harbor Township, NJ
- NPI 1790730109
-
dba Cooper University Hospital
- Land Ambulance
- Camden, NJ
- NPI 1174976724
Hospital
-
- General Acute Care Hospital
- Camden, NJ
- NPI 1568442309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555286400000",
"number": "1053495408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 FEDERAL ST # 200",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081031088",
"telephone_number": "856-356-4924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 COOPER PLZ",
"address_2": "SUITE 502",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081031438",
"telephone_number": "856-342-3113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLILI",
"first_name": "DAVID",
"middle_name": "M",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2019-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "NJ",
"license": "MD002113",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5448301",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH/KEYSTONE/IBC",
"identifier": "0352328000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "MD00211300",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Camden, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; 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.