Individual provider Active NPI

Joseph David Mills Jr., M.D.

  • Colon & Rectal Surgery Physician
  • Williamsville, NY
National Provider Identifier
1396027207
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
284881-1 Issued in NY
Practice address
1150 Youngs Rd Ste 203
Williamsville, NY 14221-8024
Phone
(716) 636-9004
NPI assigned
Sep 16, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X 284881-1 NY Primary

Addresses

Primary practice location

1150 Youngs Rd Ste 203
Williamsville, NY 14221-8024

Mailing address

PO Box 488
Buffalo, NY 14240-0488
Phone (203) 944-1940

Other identifiers 1

IdentifierTypeStateIssuer
04826308MedicaidNY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170807001641 NY Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 4880965078 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
Education
State University of New York at Buffalo School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
General Physician PCGroup PAC ID 9537213079, 488 clinicians

Practice addresses (Care Compare)

1150 Youngs Rd
Suite 203
Williamsville, NY 14221-8024
Phone (716) 636-9004

462 Grider St
Buffalo, NY 14215-3021
Phone (716) 898-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.97 of 100Reported as group
Quality
80.2
Improvement activities
40
Cost
72.88

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy113
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
284881-1NYMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wyoming County CurrentSince Feb 1, 2025 Accepting new patients
Erie County Medical Center Corporation CurrentSince Oct 19, 2019 Accepting new patients
Wyoming County Current Accepting new patients
Buffalo Medical Group, P.C. CurrentSince Sep 1, 2017 Accepting new patients
Kaleida Health Current Accepting new patients
University at Buffalo Surgeons Inc CurrentSince Aug 1, 2019 Accepting new patients
Kaleida Health CurrentSince Aug 7, 2017 Accepting new patients
Wyoming County Current Accepting new patients
Buffalo Medical Group, P.C. CurrentSince Sep 1, 2017 Accepting new patients
Kaleida Health CurrentSince Aug 7, 2017 Accepting new patients
Wyoming County CurrentSince Feb 1, 2025 Accepting new patients
General Physician, PC CurrentSince Aug 1, 2019 Accepting new patients
Erie County Medical Center Corporation CurrentSince Oct 19, 2019 Accepting new patients
Kaleida Health Past Accepting new patients

Locations

85 High St
Buffalo, NY 14203
Phone (716) 857-8623

2121 Main St
Buffalo, NY 14214
Phone (716) 838-2983

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

3898 Vineyard Dr
Dunkirk, NY 14048
Phone (716) 363-1515

445 Tremont St
North Tonawanda, NY 14120
Phone (716) 690-2291

400 N Main St
Warsaw, NY 14569
Phone (585) 786-1555

888 Center Rd
West Seneca, NY 14224
Phone (716) 675-3530

1150 Youngs Rd
Ste 203
Williamsville, NY 14221
Phone (716) 632-4696

111 N Maplemere Rd
Ste 150
Williamsville, NY 14221
Phone (716) 626-2644

425 Essjay Rd
Ste 170
Williamsville, NY 14221
Phone (716) 630-1219

325 Essjay Rd
Williamsville, NY 14221
Phone (716) 630-1102

Interoperability endpoints

  • Direct secure messaging: jmills@gppc.medentdirect.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 8

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": "1316131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1396027207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 488",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142400488",
            "telephone_number": "203-944-1940",
            "fax_number": "203-916-1041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 YOUNGS RD STE 203",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142218024",
            "telephone_number": "716-636-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "JOSEPH",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-16",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NY",
            "license": "284881-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04826308",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.