Individual provider Active NPI

Chadius M Milton

  • Medical Physician Assistant
  • Detroit, MI
National Provider Identifier
1124508122
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5601008944 Issued in MI
Practice address
18254 Livernois Ave Ste 1
Detroit, MI 48221
Phone
(313) 861-4400
Fax
(313) 861-5810
NPI assigned
Aug 19, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5601008944 MI Primary

Addresses

Primary practice location

18254 Livernois Ave Ste 1
Detroit, MI 48221

Mailing address

18254 Livernois Ave Ste 1
Detroit, MI 48221-4214
Phone (313) 861-4400

Other practice location 1

911 E 9 Mile Rd
Ferndale, MI 48220-1934
Phone (248) 336-4000

Other practice location 2

18254 Livernois Ave Ste 1
Detroit, MI 48221
Phone (313) 861-4400

Other practice location 3

34435 Michigan Ave
Wayne, MI 48184-1763
Phone (734) 589-1254

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190225001495 MI Practitioner - Physician Assistant 5698014314 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellstreet Urgent Care of MichiganGroup PAC ID 6305188491, 129 clinicians
Medpro Urgent Care PLLCGroup PAC ID 9032515333, 9 clinicians
Medpro Primary Care PLLCGroup PAC ID 7416386404, 9 clinicians

Practice addresses (Care Compare)

18700 Mack Ave
Grosse Pointe Farms, MI 48236-2923
Phone (313) 925-3486

2078 E Big Beaver Rd
Beaumont Urgent Care of Michigan
Troy, MI 48083-2301
Phone (248) 918-0744

25631 Little Mack Ave
Suite 104
Saint Clair Shores, MI 48081-2100
Phone (586) 884-2727

28284 Dequindre Rd
Warren, MI 48092-5604
Phone (586) 413-7069

28550 Schoenherr Rd
Warren, MI 48088-4329
Phone (586) 480-1685

31005 John R Rd
Suite a
Madison Heights, MI 48071-1907
Phone (248) 850-8306

43037 Dequindre Rd
Troy, MI 48085-1101
Phone (248) 817-8682

Hospital & facility affiliations

  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242

Merit-based Incentive Payment System (MIPS)

Final score
76.04 of 100Reported as group
Quality
67.93
Promoting interoperability
100
Improvement activities
40
Cost
52.21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medpro Urgent Care PLLC CurrentSince May 2, 2026 Accepting new patients
Medpro Primary Care PLLC CurrentSince May 2, 2026 Accepting new patients
Epic Primary Care II PLLC PastSince Jun 10, 2015 Accepting new patients
Wellstreet Urgent Care of Michigan PastSince Oct 15, 2023 Accepting new patients
Wellstreet Urgent Care of Michigan PastSince Aug 6, 2023 Accepting new patients

Locations

31005 John R Rd
Ste B
Madison Heights, MI 48071
Phone (248) 850-8266

31005 John R Rd
Ste A
Madison Heights, MI 48071
Phone (248) 850-8306

21057 Waltz Rd
New Boston, MI 48164
Phone (734) 315-7070

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21116/brand/1/csg/1/fhir/r4

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.

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": "1534636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1124508122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18254 LIVERNOIS AVE STE 1",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482214214",
            "telephone_number": "313-861-4400",
            "fax_number": "313-861-5810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18254 LIVERNOIS AVE STE 1",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48221",
            "telephone_number": "313-861-4400",
            "fax_number": "313-861-5810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "911 E 9 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Ferndale",
            "state": "MI",
            "postal_code": "482201934",
            "country_code": "US",
            "telephone_number": "248-336-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18254 Livernois Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "48221",
            "country_code": "US",
            "telephone_number": "313-861-4400",
            "fax_number": "313-861-5810",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "34435 Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "MI",
            "postal_code": "481841763",
            "country_code": "US",
            "telephone_number": "734-589-1254",
            "fax_number": "734-589-1255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILTON",
        "first_name": "CHADIUS",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-19",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601008944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.