Individual provider Active NPI

Melissa Lynn Milan, M.D.

  • General Practice Physician
  • Denver, CO
National Provider Identifier
1104005354
Registry record updated Jul 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
0056480 Issued in CO
Practice address
3904 E 16TH Ave
Denver, CO 80206-1903
Phone
(202) 320-9389
NPI assigned
Oct 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Physician 208D00000X 0056480 CO Primary

Addresses

Primary practice location

3904 E 16TH Ave
Denver, CO 80206-1903

Mailing address

3904 E 16TH Ave
Denver, CO 80206-1903
Phone (202) 320-9389

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20080304000557 CO Practitioner - General Practice 6204911027 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0056480COMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Urgent Care Professional Corporation CurrentSince Sep 17, 2020 Accepting new patients
Quality Urgent Care Professional Corporation CurrentSince Sep 17, 2020 Accepting new patients
Urgent Care Solutions, Glendale, PC CurrentSince Mar 9, 2017 Accepting new patients
NWH Medical Center Inc. CurrentSince Jan 1, 2018 Accepting new patients
Quality Urgent Care Professional Corporation Past Accepting new patients
NWH Medical Center Inc. PastSince Oct 5, 2021 Accepting new patients
Quality Urgent Care Professional Corporation Past Accepting new patients

Locations

2795 Pearl St
Ste 106
Boulder, CO 80302
Phone (720) 961-9700

4800 Baseline Rd
Ste D106
Boulder, CO 80303
Phone (303) 499-0176

3800 Irving St
Ste 10
Denver, CO 80211
Phone (303) 477-6000

760 S Colorado Blvd
Unit A
Glendale, CO 80246
Phone (303) 692-8000

589 S Hover St
Ste 500
Longmont, CO 80501
Phone (720) 961-9700

892 W South Boulder Rd
Ste 101
Louisville, CO 80027
Phone (303) 666-7717

1335 E South Boulder Rd
Ste C
Louisville, CO 80027
Phone (720) 961-9700

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467849600000",
    "number": "1104005354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3904 E 16TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802061903",
            "telephone_number": "202-320-9389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3904 E 16TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802061903",
            "telephone_number": "202-320-9389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILAN",
        "first_name": "MELISSA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-24",
        "last_updated": "2016-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CO",
            "license": "0056480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.