Individual provider Active NPI

Creagh E Milford, D.O.

  • Cardiovascular Disease Physician
  • Waterford, MI
National Provider Identifier
1215920764
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
CM006799 Issued in MI
Practice address
6889 Highland Rd
Waterford, MI 48327-1658
Phone
(248) 666-5200
Fax
(248) 666-5069
NPI assigned
Aug 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X CM006799 MI Primary

Addresses

Primary practice location

6889 Highland Rd
Waterford, MI 48327-1658

Mailing address

6889 Highland Rd
Waterford, MI 48327-1658
Phone (248) 666-5200

Other identifiers 8

IdentifierTypeStateIssuer
B44586OtherMIHEALTH ALLIANCE PLAN
C4167OtherMIM-CARE
4573657MedicaidMI
310F007240OtherMIBCBSM CMG
5630642OtherMIBCBSM
0F31072OtherMIBCBSM COMMON PROV ID
106339OtherMICARE CHOICES
1893975MedicaidMI

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040226001142 MI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3274429022 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Chicago College of Osteopathy, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SJMH Medical Practice-SMHCGroup PAC ID 8628965175, 27 clinicians
Heart Care PCGroup PAC ID 2668363268, 4 clinicians

Practice addresses (Care Compare)

44405 Woodward Ave
Pontiac, MI 48341-5023
Phone (248) 858-6101

6889 Highland Rd
Waterford, MI 48327-1658
Phone 2486665200201

Hospital & facility affiliations

  • Trinity Health Oakland Hospital Hospital, Pontiac, MI, CCN 230029

Merit-based Incentive Payment System (MIPS)

Final score
76.43 of 100Reported as group
Quality
84.93
Improvement activities
0
Cost
73.5

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CM006799MIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Cardiologists P.C. Cardiovascular Disease Current Accepting new patients
SJMH Medical Practice-SMHC Cardiovascular Disease CurrentSince Sep 30, 2023 Accepting new patients
SJMH Medical Practice-SMHC CurrentSince Sep 30, 2023 Accepting new patients
Heart Care PC Cardiovascular Disease CurrentSince Aug 28, 2021 Accepting new patients
Heart Care PC Cardiovascular Disease CurrentSince May 4, 2006 Accepting new patients

Locations

1666 Momentum Pl
Chicago, IL 60689

6507 Town Center Dr
Clarkston, MI 48346
Phone (248) 620-4000

5100 Gateway Ctr
Flint, MI 48507
Phone (810) 733-0790

20555 Victor Pkwy
#3A
Livonia, MI 48152

50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300

44405 Woodward Ave
Pontiac, MI 48341
Phone (248) 858-3000

13355 E 10 Mile Rd
#218
Warren, MI 48089
Phone (313) 554-2631

6889 Highland Rd
Waterford, MI 48327
Phone (248) 666-5200

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20439/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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 1

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": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1215920764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6889 HIGHLAND RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271658",
            "telephone_number": "248-666-5200",
            "fax_number": "248-666-5069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6889 HIGHLAND RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271658",
            "telephone_number": "248-666-5200",
            "fax_number": "248-666-5069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILFORD",
        "first_name": "CREAGH",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "CM006799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE PLAN",
            "identifier": "B44586",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M-CARE",
            "identifier": "C4167",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4573657",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM CMG",
            "identifier": "310F007240",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "5630642",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM COMMON PROV ID",
            "identifier": "0F31072",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE CHOICES",
            "identifier": "106339",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1893975",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, MI

Sources for this page

Verify at the official NPI Registry.