Individual provider Active NPI

Jerry P Milas, D.O.

  • Emergency Medicine Physician
  • Salem, IL
National Provider Identifier
1083640809
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25MB08356300 Issued in NJ
Practice address
1201 Ricker Rd
Salem, IL 62881-4263
Phone
(618) 548-3194
Fax
(618) 548-8926
NPI assigned
Jun 23, 2006
Last updated
Jun 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036-115292 IL
Emergency Medicine Physician 207P00000X 25MB08356300 NJ Primary

Addresses

Primary practice location

1201 Ricker Rd
Salem, IL 62881-4263

Mailing address

312 Belmont CT
Mullica Hill, NJ 08062-3638
Phone (856) 472-0360

Other identifiers 1

IdentifierTypeStateIssuer
0167690MedicaidNJ

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080917000051 NJ Practitioner - Emergency MedicinePractitioner - Internal Medicine 3577567841 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inspira Health Network Urgent Care PCGroup PAC ID 2769657659, 43 clinicians
Inspira SJ Urgent Care PCGroup PAC ID 0749566958, 29 clinicians
South Jersey Hyperbaric Medicine LLCGroup PAC ID 9436427499, 28 clinicians
Emergency Physician Associates of South Jersey P CGroup PAC ID 5294648457, 94 clinicians

Practice addresses (Care Compare)

200 Rowan Blvd
Glassboro, NJ 08028-2260
Phone (856) 582-1500

3722 E Landis Ave
Suite Iandj
Vineland, NJ 08361-7926
Phone (856) 213-5900

501 Front St
Elmer, NJ 08318-2101
Phone (856) 363-1000

90 Brick Rd
Marlton, NJ 08053-2177
Phone (856) 355-6760

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-115292ILMDEmergency Medicine Physician
25MB08356300NJMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physician Associates of South Jersey P C Emergency Medicine CurrentSince Sep 1, 2016 Accepting new patients
Inspira Health Network Urgent Care, P.C. CurrentSince May 7, 2017 Accepting new patients
South Jersey Health System Emergency Physician Services P a Emergency Medicine CurrentSince Jul 1, 2008 Accepting new patients
Inspira SJ Urgent Care PC CurrentSince Jul 1, 2020 Accepting new patients
South Jersey Hyperbaric Medicine LLC CurrentSince Apr 26, 2017 Accepting new patients
Emergency Physician Services of New Jersey,Professional Association Emergency Medicine CurrentSince May 1, 2016 Accepting new patients
South Jersey Urgicare LLC PastSince Jul 1, 2014 Accepting new patients
St. Mary's Hospital Streator Hospital Sisters of the 3Rd Order St Fran Past Accepting new patients

Locations

100 Townsend Ave
Berlin, NJ 08009
Phone (856) 322-3000

333 Irving Ave
Bridgeton, NJ 08302
Phone (856) 575-4500

200 Trenton Rd
Browns Mills, NJ 08015
Phone (609) 893-1200

1000 Atlantic Ave
Camden, NJ 08104
Phone (856) 246-3060

1120 Delsea Dr N
Glassboro, NJ 08028
Phone (856) 205-7071

200 Rowan Blvd
Glassboro, NJ 08028
Phone (856) 582-0500

90 Brick Rd
Marlton, NJ 08053
Phone (856) 355-6040

175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660

1505 W Sherman Ave
Vineland, NJ 08360
Phone (856) 451-6600

3722 E Landis Ave
Ste I
Vineland, NJ 08361
Phone (856) 213-5900

3722 E Landis Ave
Ste Ij
Vineland, NJ 08361
Phone (856) 213-5900

3722 E Landis Ave
Unit 1
Vineland, NJ 08361
Phone (856) 213-5900

Organizations & group practices 8

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.

Hospital & facility affiliations 5

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1083640809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 BELMONT CT",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080623638",
            "telephone_number": "856-472-0360",
            "fax_number": "815-254-2287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 RICKER RD",
            "city": "SALEM",
            "state": "IL",
            "postal_code": "628814263",
            "telephone_number": "618-548-3194",
            "fax_number": "618-548-8926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILAS",
        "first_name": "JERRY",
        "middle_name": "P",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036-115292",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MB08356300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0167690",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, IL

Sources for this page

Verify at the official NPI Registry.