Active NPI
Milind V Tilak, MD
- Internal Medicine Physician
- Middleburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME72684
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000105527 | Other | FL | HUMANA |
| 238067 | Other | FL | AVMED |
| 252593300 | Medicaid | FL | |
| 41487 | Other | FL | BCBS |
| 7995408 | Other | FL | AETNA |
| K6020 | Other | FL | MEDICARE GROUP |
Other names 1
- Dr. Mel V Tilak
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Pain Management
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0282 | FL | MD | Interventional Pain Medicine Physician |
| ME72684 | FL | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctors Inlet Pediatrics & Primary Care, PA | Adult Medicine | Current | Accepting new patients |
| Doctors Inlet Pediatrics and Primary Care | Adult Medicine | Past | Accepting new patients |
| Doctors Inlet Pediatrics & Primary Care, PA | Adult Medicine | Past | Accepting new patients |
| Saltzman, Tanis, Pittel, Levin and Jacobson, LLC | Pediatrics | Past | 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
- 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.
-
- Internal Medicine Physician
- Middleburg, FL
- NPI 1518980937
Adult Medicine
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1205039690
Adult Medicine
-
- Internal Medicine Physician
- Middleburg, FL
- NPI 1518328301
Adult Medicine
-
- Pediatrics Physician
- Middleburg, FL
- NPI 1689325466
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.