Active NPI
Jesse N Mills, MD
- Urology Physician
- Santa Monica, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 138171
- Practice address
- 1260 15TH St
Suite 1200
Santa Monica, CA 90404-1135 - Phone
- (310) 451-8751
- NPI assigned
- Jan 26, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 44919 | CO | |
| Urology Physician | 208800000X | 138171 | CA | Primary |
| Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician | 2088F0040X | 138171 | CA | |
| Pediatric Urology Physician | 2088P0231X | 138171 | CA |
Addresses
Primary practice location
1260 15TH St
Suite 1200
Santa Monica, CA 90404-1135
Mailing address
5767 W Century Blvd
Suite 400
Los Angeles, CA 90045-5631
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25385763 | Medicaid | CO | |
| 138171 | Other | CA | MEDICAL LICENSE |
| P00647968 | Other | CO | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- University of Iowa, RJ & L Carver College of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1260 15TH St
Suite 1200
Santa Monica, CA 90404-1147
Phone (310) 451-8751
Hospital & facility affiliations
- Santa Monica - UCLA Med Ctr & Orthopaedic Hospital
- Ronald Reagan UCLA Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44919 | CO | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of California | Urology | Current | Accepting new patients |
| UCLA Urology Associates | Urology | Past | Accepting new patients |
| UCLA Medical Group | Urology | Past | Accepting new patients |
| The Regents of the University of California | Past | Accepting new patients | |
| Regents Univ of Calif Los Angeles | Past | Accepting new patients | |
| Regents of the Unviersity of California | Past | Accepting new patients | |
| Intermountain Front Range, Inc. | Past | Accepting new patients | |
| HCA Healthone LLC | Past | Accepting new patients |
Locations
File 2939
Los Angeles, CA 90074
Phone (310) 794-6596
200 UCLA Medical Plz
Ste 140
Los Angeles, CA 90095
Phone (310) 206-8164
5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200
1260 15th St
Ste 1200
Santa Monica, CA 90404
Phone (310) 451-8751
Interoperability endpoints
- jmills427876@direct.uclahealth.org
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.
-
- Urology Physician
- Santa Monica, CA
- NPI 1609249408
-
- Emergency Medicine Physician
- La Jolla, CA
- NPI 1629095500
-
- Psychiatric Hospital
- Los Angeles, CA
- NPI 1952308363
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1982849105
-
- Urology Physician
- Santa Monica, CA
- NPI 1285692822
-
- General Acute Care Hospital
- Englewood, CO
- NPI 1396790200
-
- Inpatient Hospice
- Wheat Ridge, CO
- NPI 1255360301
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1427055839
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1902803315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447113600000",
"number": "1295881803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD",
"address_2": "SUITE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1260 15TH ST",
"address_2": "SUITE 1200",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904041135",
"telephone_number": "310-451-8751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLS",
"first_name": "JESSE",
"middle_name": "N",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-26",
"last_updated": "2015-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CO",
"license": "44919",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CA",
"license": "138171",
"primary": true
},
{
"code": "2088F0040X",
"taxonomy_group": "",
"desc": "Urology, Urogynecology and Reconstructive Pelvic Surgery",
"state": "CA",
"license": "138171",
"primary": false
},
{
"code": "2088P0231X",
"taxonomy_group": "",
"desc": "Urology, Pediatric Urology",
"state": "CA",
"license": "138171",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "25385763",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "138171",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00647968",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.