Individual provider Active NPI

Gary Allan Milkovich, D.O.

  • Allergy & Immunology Physician
  • Cleveland, OH
National Provider Identifier
1457392292
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
34.004702CTR Issued in OH
Practice address
6044 Broadview Rd
Cleveland, OH 44134-3106
Phone
(216) 563-1003
Fax
(216) 563-1016
NPI assigned
Jun 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X 34.004702CTR OH Primary

Addresses

Primary practice location

6044 Broadview Rd
Cleveland, OH 44134-3106

Mailing address

6044 Broadview Rd
Cleveland, OH 44134-3106
Phone (216) 563-1003

Other practice location 1

9088 Superior Ave
Streetsboro, OH 44241-5699
Phone (330) 626-2963

Other identifiers 1

IdentifierTypeStateIssuer
MI0930827MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20120224000797 OH Practitioner - Allergy/Immunology 8527092147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Ohio University, College of Osteopathic Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6044 Broadview Rd
Parma, OH 44134-3106
Phone (216) 563-1003

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.004702CTROHMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gary a. Milkovich, D.O., Inc. Specialist CurrentSince Jan 1, 1991 Accepting new patients

Locations

6688 Ridge Rd
Ste 1135
Parma, OH 44129

6044 Broadview Rd
Parma, OH 44134
Phone (216) 563-1003

9088 Superior Ave
Streetsboro, OH 44241
Phone (330) 626-2020

9088 Superior Ave
Ste 103
Streetsboro, OH 44241
Phone (330) 626-2963

Interoperability endpoints

  • Direct secure messaging: gmilkovich222844@ehrdirect.uhhospitals.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1457392292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6044 BROADVIEW RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441343106",
            "telephone_number": "216-563-1003",
            "fax_number": "216-563-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6044 BROADVIEW RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441343106",
            "telephone_number": "216-563-1003",
            "fax_number": "216-563-1016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9088 Superior Ave",
            "address_purpose": "LOCATION",
            "city": "Streetsboro",
            "state": "OH",
            "postal_code": "442415699",
            "country_code": "US",
            "telephone_number": "330-626-2963",
            "fax_number": "216-563-1016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILKOVICH",
        "first_name": "GARY",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "OH",
            "license": "34.004702CTR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MI0930827",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.