Active NPI
Scott D. Mills, M.D.
- Diagnostic Radiology Physician
- Happy Valley, OR
National Provider Identifier
1326094509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD25418
- Practice address
- 9200 SE 91St Ave
Suite 330
Happy Valley, OR 97086-3756 - Phone
- (503) 774-7700
- Fax
- (503) 774-7701
- NPI assigned
- May 26, 2006
- Last updated
- Jan 15, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD25418 | OR | Primary |
Addresses
Primary practice location
9200 SE 91St Ave
Suite 330
Happy Valley, OR 97086-3756
Mailing address
9200 SE 91St Ave
Suite 330
Happy Valley, OR 97086-3756
Phone (503) 774-7700
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00125133 | Medicaid | MS | |
| 1990493 | Medicaid | LA | |
| 269600 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD25418 | OR | MD | Diagnostic Radiology Physician |
| 10644R | LA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clearview MRI LLC | Current | Accepting new patients | |
| Radiology Associates of Southwest Louisiana | Diagnostic Radiology | Past | Accepting new patients |
| Open Air MRI of Lake Charles LLC | Diagnostic Radiology | Past | Accepting new patients |
| Imaging Center of Meridian LLC | Diagnostic Radiology | Past | Accepting new patients |
Locations
9200 SE 91st Ave
Ste 330
Portland, OR 97086
Phone (503) 661-6500
Organizations & group practices 5
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.
-
- Diagnostic Radiology Physician
- Portland, OR
- NPI 1841629664
-
- Physiological Laboratory
- Meridian, MS
- NPI 1710935929
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Lake Charles, LA
- NPI 1053310698
-
- Diagnostic Radiology Physician
- Alexandria, LA
- NPI 1033215710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452816000000",
"number": "1326094509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9200 SE 91ST AVE",
"address_2": "SUITE 330",
"city": "HAPPY VALLEY",
"state": "OR",
"postal_code": "970863756",
"telephone_number": "503-774-7700",
"fax_number": "503-774-7701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9200 SE 91ST AVE",
"address_2": "SUITE 330",
"city": "HAPPY VALLEY",
"state": "OR",
"postal_code": "970863756",
"telephone_number": "503-774-7700",
"fax_number": "503-774-7701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLS",
"first_name": "SCOTT",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-26",
"last_updated": "2016-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OR",
"license": "MD25418",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00125133",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1990493",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "269600",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Happy Valley, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.