Individual provider Active NPI

Scott D. Mills, M.D.

  • Diagnostic Radiology Physician
  • Happy Valley, OR
National Provider Identifier
1326094509
Registry record updated Jan 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD25418 Issued in OR
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, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00125133MedicaidMS
1990493MedicaidLA
269600MedicaidOR

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
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD25418ORMDDiagnostic Radiology Physician
10644RLAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Clearview MRI LLC CurrentSince Jan 22, 2023 Accepting new patients
Radiology Associates of Southwest Louisiana Diagnostic Radiology PastSince Mar 5, 2023 Accepting new patients
Open Air MRI of Lake Charles LLC Diagnostic Radiology PastSince Oct 1, 2003 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.

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

Verify at the official NPI Registry.