Individual provider Active NPI

Milind V Tilak, MD

  • Internal Medicine Physician
  • Middleburg, FL
National Provider Identifier
1316960735
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME72684 Issued in FL
Practice address
430 College Dr
Ste 100-102-104-106
Middleburg, FL 32068-8530
Phone
(904) 298-1994
Fax
(904) 298-1973
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 0282 FL
Interventional Pain Medicine Physician 208VP0014X ME72684 FL
Internal Medicine Physician 207R00000X ME72684 FL Primary

Addresses

Primary practice location

430 College Dr
Ste 100-102-104-106
Middleburg, FL 32068-8530

Mailing address

430 College Dr Ste 104-106
Middleburg, FL 32068-8530
Phone (904) 298-1994

Other practice location 1

10175 Fortune Pkwy Ste 401-402
Jacksonville, FL 32256-6746
Phone (904) 298-1994

Other identifiers 6

IdentifierTypeStateIssuer
000105527OtherFLHUMANA
238067OtherFLAVMED
252593300MedicaidFL
41487OtherFLBCBS
7995408OtherFLAETNA
K6020OtherFLMEDICARE GROUP

Other names 1

  • Dr. Mel V Tilak Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040816001265 FL Practitioner - Interventional Pain ManagementPractitioner - Internal MedicinePractitioner - Pediatric Medicine 5597738765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

430 College Dr
Suite 104106
Middleburg, FL 32068-8530
Phone (904) 298-1994

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0282FLMDInterventional Pain Medicine Physician
ME72684FLMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Inlet Pediatrics & Primary Care, PA Adult Medicine CurrentSince Jun 11, 2004 Accepting new patients
Doctors Inlet Pediatrics and Primary Care Adult Medicine PastSince Jun 11, 2004 Accepting new patients
Doctors Inlet Pediatrics & Primary Care, PA Adult Medicine PastSince Jul 24, 2022 Accepting new patients
Saltzman, Tanis, Pittel, Levin and Jacobson, LLC Pediatrics PastSince Jan 21, 2022 Accepting new patients

Locations

10175 Fortune Pkwy
Unit 401
Jacksonville, FL 32256
Phone (904) 298-1994

10175 Fortune Pkwy
Ste 401402
Jacksonville, FL 32256
Phone (904) 298-1994

430 College Dr
Ste 104
Middleburg, FL 32068

430 College Dr
Ste 104106
Middleburg, FL 32068
Phone (904) 298-1994

430 College Dr
Ste 100102104106
Middleburg, FL 32068
Phone (904) 298-1994

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CDCEBA/Endpoint/CDCEBA

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.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1316960735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 COLLEGE DR STE 104-106",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320688530",
            "telephone_number": "904-298-1994",
            "fax_number": "904-298-1973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 COLLEGE DR",
            "address_2": "STE 100-102-104-106",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320688530",
            "telephone_number": "904-298-1994",
            "fax_number": "904-298-1973"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10175 Fortune Pkwy Ste 401-402",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322566746",
            "country_code": "US",
            "telephone_number": "904-298-1994",
            "fax_number": "904-298-1973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TILAK",
        "first_name": "MILIND",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "0282",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME72684",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME72684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "000105527",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "238067",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252593300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "41487",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7995408",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "K6020",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEL",
            "last_name": "TILAK",
            "middle_name": "V",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Middleburg, FL

Sources for this page

Verify at the official NPI Registry.