NPIMap

Individual provider Active NPI

Jeffrey David Millman, MD

  • Family Medicine Physician
  • Sparks, NV
National Provider Identifier
1316010846
Registry record updated Dec 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4242 Issued in NV
Practice address
1321 N McCarran Blvd
Suite 103
Sparks, NV 89431
Phone
(775) 331-1555
Fax
(775) 331-8073
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4242 NV Primary
Family Medicine Physician 207Q00000X G24772 CA

Addresses

Primary practice location

1321 N McCarran Blvd
Suite 103
Sparks, NV 89431

Mailing address

1321 N McCarran Blvd
Suite 103
Sparks, NV 89431
Phone (775) 331-1555

Other identifiers 1

IdentifierTypeStateIssuer
2016515MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051019000001 NV Practitioner - Family Practice 9436175585 Practice locations: Sparks, NV

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
R Franklin University of Med & Sci/Chicago Medical School, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1321 N McCarran Blvd
Suite 103
Sparks, NV 89431-3873
Phone (775) 331-1555

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.68 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
75.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G24772CAMDFamily Medicine Physician

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262044800000",
    "number": "1316010846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 N MCCARRAN BLVD",
            "address_2": "SUITE 103",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "89431",
            "telephone_number": "775-331-1555",
            "fax_number": "775-331-8073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 N MCCARRAN BLVD",
            "address_2": "SUITE 103",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "89431",
            "telephone_number": "775-331-1555",
            "fax_number": "775-331-8073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLMAN",
        "first_name": "JEFFREY",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2009-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "4242",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G24772",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2016515",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

Verify at the official NPI Registry.