Individual provider Active NPI

Liya Milgram

  • Family Medicine Physician
  • Eugene, OR
National Provider Identifier
1063822575
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO192778 Issued in OR
Practice address
1426 Oak St
Eugene, OR 97401-4043
Phone
(541) 431-0000
Fax
(541) 233-4064
NPI assigned
May 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 72086 WI
Family Medicine Physician 207Q00000X 036.144140 IL
Family Medicine Physician 207Q00000X DO192778 OR Primary

Addresses

Primary practice location

1426 Oak St
Eugene, OR 97401-4043

Mailing address

PO Box 1517
Pendleton, OR 97801-0410
Phone (541) 278-4332

Other practice location 1

4600 N Ravenswood Ave
Chicago, IL 60640-4510
Phone (773) 561-7500

Other practice location 2

4600 N Ravenswood Ave
Chicago, IL 60640-4510
Phone (773) 561-7500

Other practice location 3

2600 Kiley Way
Plymouth, WI 53073
Phone (920) 449-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20200925001204 OR Practitioner - Family Practice 8426354267 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Midwestern University, Chicago College of Osteopathic Med, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Praxis Health PCGroup PAC ID 8325941446, 174 clinicians

Practice addresses (Care Compare)

1426 Oak St
Eugene, OR 97401-4043
Phone (541) 431-0000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.144140ILMDFamily Medicine Physician
DO192778ORMDFamily Medicine Physician
72086WIMDFamily Medicine Physician
15928CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Praxis Health, PC CurrentSince Oct 15, 2023 Accepting new patients
Praxis Health, PC Family Medicine CurrentSince Oct 15, 2023 Accepting new patients

Locations

1488 Oak St
Eugene, OR 97401
Phone (541) 431-0000

1426 Oak St
Eugene, OR 97401
Phone (541) 431-0000

Interoperability endpoints

  • Direct secure messaging: clinical@oakstreetmedical.directbygreenway.com
  • Direct secure messaging: lmilgram421011@hisp.ehr.sutterhealth.org

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1063822575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1517",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978010410",
            "telephone_number": "541-278-4332",
            "fax_number": "541-278-8349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 OAK ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014043",
            "telephone_number": "541-431-0000",
            "fax_number": "541-233-4064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4600 N Ravenswood Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606404510",
            "country_code": "US",
            "telephone_number": "773-561-7500",
            "fax_number": "773-561-7612",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4600 N Ravenswood Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606404510",
            "country_code": "US",
            "telephone_number": "773-561-7500",
            "fax_number": "773-561-7612",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2600 Kiley Way",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "WI",
            "postal_code": "53073",
            "country_code": "US",
            "telephone_number": "920-449-7000",
            "fax_number": "773-561-7612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILGRAM",
        "first_name": "LIYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-06",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "72086",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.144140",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "DO192778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.