Individual provider Active NPI

Andrew J Milone, PA

  • Physician Assistant
  • Boonville, NY
National Provider Identifier
1366450892
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
004802 Issued in NY
Practice address
13460 State Route 12
Boonville, NY 13309-3531
Phone
(315) 942-4391
Fax
(315) 942-4179
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 004802 NY Primary

Addresses

Primary practice location

13460 State Route 12
Boonville, NY 13309-3531

Mailing address

2209 Genesee Street
Business Office Room 315
Utica, NY 13501
Phone (315) 801-3282

Other identifiers 1

IdentifierTypeStateIssuer
03856448MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050601000273 NY Practitioner - Physician Assistant 0648212886 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Kentucky College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MVHS IncGroup PAC ID 2769380252, 330 clinicians

Practice addresses (Care Compare)

114 S Shore Rd
Old Forge, NY 13420-7786
Phone (315) 369-6619

131 Main St
Oneida, NY 13421-1645
Phone (315) 366-3700

13460 State Route 12
Boonville, NY 13309-3531
Phone (315) 942-4391

1676 Sunset Ave
Utica, NY 13502-5416
Phone (315) 625-6000

4401 Middle Settlement Rd
New Hartford, NY 13413-5331
Phone (315) 733-1148

7980 State Route 12
Barneveld, NY 13304-2536
Phone (315) 624-8440

Hospital & facility affiliations

  • Wynn Hospital Hospital, Utica, NY, CCN 330044
  • Oneida Health Hospital Hospital, Oneida, NY, CCN 330115
  • Rome Memorial Hospital, Inc Hospital, Rome, NY, CCN 330215

Merit-based Incentive Payment System (MIPS)

Final score
85.28 of 100Reported as group
Quality
75.06
Promoting interoperability
100
Improvement activities
40
Cost
69.26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
MVHS Inc CurrentSince Jun 1, 2022 Accepting new patients
MVHS Inc CurrentSince Jun 1, 2022 Accepting new patients

Locations

8112 State Route 12
Barneveld, NY 13304
Phone (315) 896-4111

13460 State Route 12
Boonville, NY 13309
Phone (315) 942-4391

295 W Main St
Ilion, NY 13357
Phone (315) 894-3132

1656 Champlin Ave
New Hartford, NY 13413
Phone (315) 624-6222

2215 Genesee St
Utica, NY 13501
Phone (315) 801-4238

2209 Genesee St
Ofc
Utica, NY 13501
Phone (315) 801-3282

1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567

Interoperability endpoints

  • Direct secure messaging: amilone13547@mvhealthsystem.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 10

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

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1366450892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 GENESEE STREET",
            "address_2": "BUSINESS OFFICE ROOM 315",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "13501",
            "telephone_number": "315-801-3282",
            "fax_number": "315-801-8391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13460 STATE ROUTE 12",
            "city": "BOONVILLE",
            "state": "NY",
            "postal_code": "133093531",
            "telephone_number": "315-942-4391",
            "fax_number": "315-942-4179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILONE",
        "first_name": "ANDREW",
        "middle_name": "J",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "004802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03856448",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boonville, NY

Sources for this page

Verify at the official NPI Registry.