Individual provider Active NPI

Maria Milan, M.D.

  • Pediatrics Physician
  • Clinton, MD
National Provider Identifier
1134531130
Registry record updated Apr 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0088062 Issued in MD
Practice address
9015 Woodyard Rd Ste 111
Clinton, MD 20735-4226
Phone
(301) 599-0900
NPI assigned
May 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 17285 NV
Pediatrics Physician 208000000X MD047641 DC
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X D0088062 MD Primary

Addresses

Primary practice location

9015 Woodyard Rd Ste 111
Clinton, MD 20735-4226

Mailing address

7455 W Washington Ave Ste 300
Las Vegas, NV 89128-4338
Phone (702) 363-3000

Other practice location 1

2500 N State St
UMC Department of Pediatrics
Jackson, MS 39216-4500
Phone (601) 984-5200

Other practice location 2

7455 W Washington Ave Ste 300
Las Vegas, NV 89128
Phone (702) 363-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20150126001267 MS Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 7911221833

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD047641DCMDPediatrics Physician
D0088062MDMDPediatrics Physician
17285NVMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1400889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586476800000",
    "number": "1134531130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7455 W WASHINGTON AVE STE 300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891284338",
            "telephone_number": "702-363-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9015 WOODYARD RD STE 111",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207354226",
            "telephone_number": "301-599-0900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 N State St",
            "address_2": "UMC Department of Pediatrics",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392164500",
            "country_code": "US",
            "telephone_number": "601-984-5200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7455 W Washington Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "89128",
            "country_code": "US",
            "telephone_number": "702-363-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILAN",
        "first_name": "MARIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-24",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NV",
            "license": "17285",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "DC",
            "license": "MD047641",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0088062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

Verify at the official NPI Registry.