Active NPI
Michael Milroy, M.D.
- Urology Physician
- Santa Fe, NM
National Provider Identifier
1376623223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 72-199
- Practice address
- 1630 Hospital Dr
Suite B
Santa Fe, NM 87505-4772 - Phone
- (505) 820-0484
- Fax
- (505) 820-6138
- NPI assigned
- Oct 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 72-199 | NM | Primary |
Addresses
Primary practice location
1630 Hospital Dr
Suite B
Santa Fe, NM 87505-4772
Mailing address
1630 Hospital Dr
Suite B
Santa Fe, NM 87505-4772
Phone (505) 820-0484
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20479 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1376623223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1630 HOSPITAL DR",
"address_2": "SUITE B",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875054772",
"telephone_number": "505-820-0484",
"fax_number": "505-820-6138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1630 HOSPITAL DR",
"address_2": "SUITE B",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875054772",
"telephone_number": "505-820-0484",
"fax_number": "505-820-6138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILROY",
"first_name": "MICHAEL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NM",
"license": "72-199",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "20479",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.