Individual provider Active NPI

Glenn J Milos, DO

  • Emergency Medicine Physician
  • Janesville, WI
National Provider Identifier
1285602516
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036-102984 Issued in IL
Practice address
1000 Mineral Point Ave
Janesville, WI 53548-2940
Phone
(608) 756-6611
Fax
(608) 756-6177
NPI assigned
Mar 11, 2006
Last updated
Oct 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036-102984 IL Primary
Emergency Medicine Physician 207P00000X 46242-21 WI

Addresses

Primary practice location

1000 Mineral Point Ave
Janesville, WI 53548-2940

Mailing address

1000 Mineral Point Ave
Janesville, WI 53548-2940
Phone (608) 756-6611

Other identifiers 5

IdentifierTypeStateIssuer
036102984MedicaidIL
036102984 1MedicaidIL
MILOSCLEOtherWIMERCYCARE INSURANCE
1285602516OtherWIBCBSWI
1285602516MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060309000128 WI Practitioner - Emergency Medicine 0143237511 Reassigns benefits to 1 organization
I20060425000676 IL Practitioner - Emergency Medicine 0143237511 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Midwestern University, Chicago College of Osteopathic Med, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians
Cepamerica Illinois LLPGroup PAC ID 3274793633, 492 clinicians

Practice addresses (Care Compare)

403 E 1St St
Dixon, IL 61021-3116
Phone (815) 288-5531

77 N Airlite St
Elgin, IL 60123-4912
Phone (847) 695-3200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-102984ILMDEmergency Medicine Physician
46242-21WIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rockford Health Physicians CurrentSince Jul 1, 2016 Accepting new patients
Mercy Health System Corporation Current Accepting new patients
Katherine Shaw Bethea Hospital CurrentSince Dec 12, 2022 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Mercy Health System Corporation CurrentSince Sep 15, 2005 Accepting new patients
Mercy Health System Corporation CurrentSince Sep 15, 2005 Accepting new patients
Cep America - Illinois, LLP Emergency Medicine CurrentSince Oct 14, 2022 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Oct 14, 2022 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine Current Accepting new patients
Midwest Medical Management, P.C. Emergency Medicine Past Accepting new patients
Webster Emergency Physicians Emergency Medicine Past Accepting new patients
CGH Medical Center Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

403 E 1st St
Dixon, IL 61021
Phone (815) 285-5629

1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437

77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407

1045 W Stephenson St
Freeport, IL 61032
Phone (815) 599-6290

348 S Division St
Harvard, IL 60033
Phone (815) 943-1122

901 Grant St
Harvard, IL 60033
Phone (815) 943-2961

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

2300 N Rockton Ave
Rockford, IL 61103

2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310

5666 E State St
Rockford, IL 61108
Phone (815) 226-2000

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

N2950 State Road 67
Lake Geneva, WI 53147
Phone (262) 245-0535

Interoperability endpoints

  • Direct secure messaging: gmilos750195@direct.emplifyhealth.org

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

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": "1142035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1285602516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 MINERAL POINT AVE",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535482940",
            "telephone_number": "608-756-6611",
            "fax_number": "608-756-6177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MINERAL POINT AVE",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535482940",
            "telephone_number": "608-756-6611",
            "fax_number": "608-756-6177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILOS",
        "first_name": "GLENN",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-11",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036-102984",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "46242-21",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036102984",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036102984 1",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCYCARE INSURANCE",
            "identifier": "MILOSCLE",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSWI",
            "identifier": "1285602516",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285602516",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Janesville, WI

Sources for this page

Verify at the official NPI Registry.