Active NPI
Stacey L Milani, MD
- Pediatrics Physician
- Pleasant Hill, IA
National Provider Identifier
1104935188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35885
- Practice address
- 5900 E University Ave
Suite 300
Pleasant Hill, IA 50327-8457 - Phone
- (515) 643-2600
- Fax
- (515) 643-4733
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35885 | IA | Primary |
Addresses
Primary practice location
5900 E University Ave
Suite 300
Pleasant Hill, IA 50327-8457
Mailing address
PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 643-2600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0451914 | Medicaid | IA |
Other names 1
- Stacey L George
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35885 | IA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinics, Inc. | Current | Accepting new patients | |
| Mercy Clinics, Inc. | Current | Accepting new patients | |
| Mercy Clinics, Inc. | Current | Accepting new patients | |
| Boone County Hospital | Past | Accepting new patients |
Locations
1601 NW 114th St
Ste 345
Des Moines, IA 50325
Phone (515) 222-7337
405 SW 5th St
Ste E
Des Moines, IA 50309
Phone (515) 358-7259
5900 E University Ave
Ste 300
Pleasant Hill, IA 50327
Phone (515) 623-2600
Organizations & group practices 4
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.
-
- Primary Care Clinic/Center
- Clive, IA
- NPI 1487670923
-
- Primary Care Clinic/Center
- Des Moines, IA
- NPI 1194745752
-
- Obstetrics & Gynecology Physician
- Des Moines, IA
- NPI 1508741505
-
- Critical Access Hospital
- Boone, IA
- NPI 1467434225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329782400000",
"number": "1104935188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1475",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503051475",
"telephone_number": "515-643-2600",
"fax_number": "515-643-4733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5900 E UNIVERSITY AVE",
"address_2": "SUITE 300",
"city": "PLEASANT HILL",
"state": "IA",
"postal_code": "503278457",
"telephone_number": "515-643-2600",
"fax_number": "515-643-4733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILANI",
"first_name": "STACEY",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2012-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IA",
"license": "35885",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0451914",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "STACEY",
"last_name": "GEORGE",
"middle_name": "L",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Pleasant Hill, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.