Individual provider Active NPI

Gregory Douglas Mills, DPM

  • Podiatrist
  • Cherry Hill, NJ
National Provider Identifier
1083646293
Registry record updated Dec 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
MD1968 Issued in NJ
Practice address
1930 East Route 70
Ste L60
Cherry Hill, NJ 08003
Phone
(856) 751-3313
Fax
(856) 751-8370
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X MD1968 NJ Primary

Addresses

Primary practice location

1930 East Route 70
Ste L60
Cherry Hill, NJ 08003

Mailing address

1930 East Route 70
Ste L60
Cherry Hill, NJ 08003
Phone (856) 751-3313

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100113000716 NJ Practitioner - Podiatry 6901947803 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1930 E RT
70 Suite L60 the Executive Mews
Cherry Hill, NJ 08003-4201
Phone (856) 751-3313

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue537
Removal of skin lesions53
Removal of nail tissue2209
Removal or shaving of skin growth1851

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MD1968NJMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gregory D Mills DPM LLC Podiatrist CurrentSince Oct 26, 2009 Accepting new patients
Gregory D Mills DPM Podiatrist CurrentSince Mar 7, 2003 Accepting new patients

Locations

1930 Route 70 E
Ste L60
Cherry Hill, NJ 08003
Phone (856) 751-3313

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.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197936000000",
    "number": "1083646293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 EAST ROUTE 70",
            "address_2": "STE L60",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "08003",
            "telephone_number": "856-751-3313",
            "fax_number": "856-751-8370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 EAST ROUTE 70",
            "address_2": "STE L60",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "08003",
            "telephone_number": "856-751-3313",
            "fax_number": "856-751-8370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "GREGORY",
        "middle_name": "DOUGLAS",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "MD1968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.