Mary Milam, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

E4529 Issued in TX

Practice address

1307 8TH Ave
Suite 205
Fort Worth, TX 76104-4137

Phone

(817) 924-4300

Fax

(817) 924-1493

NPI assigned

May 24, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Medical OncologyAlso: Hematology

Education

University of Texas Southwestern Medical School at Dallas, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baylor Scott and White All Saints Medical Center Hospital, Fort Worth, TX, CCN 450137
• Texas Health Harris Methodist Fort Worth Hospital, Fort Worth, TX, CCN 450135
• Medical City Weatherford Hospital, Weatherford, TX, CCN 450203
• Texas Health Harris Methodist Hospital Southwest F Hospital, Fort Worth, TX, CCN 450779
• Medical City Fort Worth Hospital, Fort Worth, TX, CCN 450672

Merit-based Incentive Payment System (MIPS)

Final score

81.18 of 100Reported as individual

Quality

54.3

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Mary Milam, M.D., P.a.

  • Hematology & Oncology Physician
  • Fort Worth, TX
  • NPI 1174786933
  Medicare reassignment NPD Authorized official
• Catherine a Colquitt MD P.a.

  • Infectious Disease Physician
  • Fort Worth, TX
  • NPI 1427357649
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baylor All Saints Medical Center

  dba Baylor Scott & White All Saints Medical Center - Fort Worth

  • General Acute Care Hospital
  • Fort Worth, TX
  • NPI 1669472387
  Care Compare affiliation
• Columbia Plaza Medical Center of Fort Worth Subsidiary LP

  dba Medical City Fort Worth

  • General Acute Care Hospital
  • Fort Worth, TX
  • NPI 1659323772
  Care Compare affiliation
• Texas Health Harris Methodist Hospital Fort Worth

  • General Acute Care Hospital
  • Fort Worth, TX
  • NPI 1336172105
  Care Compare affiliation
• Texas Health Harris Methodist Hospital Southwest Fort Worth

  • General Acute Care Hospital
  • Fort Worth, TX
  • NPI 1417980202
  Care Compare affiliation
• Weatherford Health Services, LLC

  dba Medical City Weatherford

  • General Acute Care Hospital
  • Weatherford, TX
  • NPI 1417471467
  Care Compare affiliation

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216080000000",
    "number": "1063415735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 8TH AVE",
            "address_2": "SUITE 308",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044140",
            "telephone_number": "817-920-0638",
            "fax_number": "817-920-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 8TH AVE",
            "address_2": "SUITE 205",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044137",
            "telephone_number": "817-924-4300",
            "fax_number": "817-924-1493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILAM",
        "first_name": "MARY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-05-24",
        "last_updated": "2008-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TX",
            "license": "E4529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356156-04",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mikkelsen, LLC
• Mikulencak Orthodontics
• David Matthew Mikulencak, DDS, MS
• Mila Family Health
• Lisa Marie Miladinovich, PTA
• Rachelle Milam, RN
• Trona Kay Milano, MSN, RN
• Linda A Milburn, LCSW, LCDC
• Miles Dental Care
• Miles of Comfort

• Hematology & Oncology Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Hematology & Oncology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.

Verify at the official NPI Registry.