Active NPI
Fortunata Grace Milano, MD
- Psychiatry Physician
- Buffalo, MN
National Provider Identifier
1275569428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 36368
- Practice address
- 308 12TH Ave S
Buffalo, MN 55313-2321 - Phone
- (763) 682-4400
- Fax
- (763) 682-1353
- NPI assigned
- Jun 22, 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 36368 | MN | Primary |
Addresses
Primary practice location
308 12TH Ave S
Buffalo, MN 55313-2321
Mailing address
1321 13TH St N
Saint Cloud, MN 56303-2614
Phone (320) 252-5010
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 617220200 | Medicaid | MN | |
| 922241014077 | Other | PREFERRED ONE | |
| 333J0MI | Other | BCBS | |
| HP22457 | Other | HEALTH PARTNERS | |
| 1563706 | Other | MEDICA | |
| 123566C851 | Other | UCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Minnesota Mental Health Center | Current | Accepting new patients | |
| Central Minnesota Mental Health Center | Current | Accepting new patients | |
| Allina Health System | Past | Accepting new patients | |
| Allina Health System | Past | Accepting new patients |
Locations
308 12th Ave S
Buffalo, MN 55313
Phone (763) 682-4400
1321 13th St N
Saint Cloud, MN 56303
Phone (320) 252-5010
411 3rd St N
Waite Park, MN 56387
Phone (320) 202-2037
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.
-
- Counselor
- Saint Cloud, MN
- NPI 1053576546
-
- Mental Health Counselor
- Saint Cloud, MN
- NPI 1831177195
-
dba Abbott Northwestern Hospital
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1760446256
-
dba Allina Health TeleRheumatology
- Rheumatology Physician
- Coon Rapids, MN
- NPI 1952146516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264550400000",
"number": "1275569428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1321 13TH ST N",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563032614",
"telephone_number": "320-252-5010",
"fax_number": "320-203-1855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 12TH AVE S",
"city": "BUFFALO",
"state": "MN",
"postal_code": "553132321",
"telephone_number": "763-682-4400",
"fax_number": "763-682-1353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILANO",
"first_name": "FORTUNATA",
"middle_name": "GRACE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-22",
"last_updated": "2010-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MN",
"license": "36368",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "617220200",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "922241014077",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "333J0MI",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP22457",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "1563706",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "123566C851",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; 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.