David Leland Milbauer, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD23990 Issued in ME

Practice address

22 Bramhall St
Portland, ME 04102-3175

Phone

(207) 662-4735

Fax

(207) 662-6388

NPI assigned

Jan 16, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY, FL2 enrollments

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 2

Specialty

Diagnostic Radiology

Education

Duke University School of Medicine, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lenox Hill Radiology and Medical Imaging Associates PCGroup PAC ID 2264424712, 245 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

58.75 of 100Reported as group

Quality

25

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

81.08 of 100Reported as group

Quality

62.84

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

86.64 of 100Reported as group

Quality

75.71

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Lenox Hill Radiology & Medical Imaging Associates, PC

  • Diagnostic Radiology Physician
  • New York, NY
  • NPI 1821036807

  FL, Neuroradiology

  Medicare reassignment Care Compare group NPD
• Hudson Valley Radiology Associates PLLC

  • Diagnostic Radiology Physician
  • New City, NY
  • NPI 1174574115
  Medicare reassignment NPD
• New York Private Medical Imaging Practice, PLLC

  • Specialist
  • New York, NY
  • NPI 1740459593
  Medicare reassignment NPD
• Summit Radiology P C

  • Diagnostic Radiology Physician
  • Fort Wayne, IN
  • NPI 1073584587

  FL, NY

  Medicare reassignment NPD
• DRS. Beranbaum, Khilnani, Neistadt, Jacobs, Hertz & Sherman, LLP

  • Diagnostic Radiology Physician
  • New York, NY
  • NPI 1255438537
  NPD (past)
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)
• North Shore Health System Medical Faculty Group Practice Inc

  • Hematology & Oncology Physician
  • New Hyde Park, NY
  • NPI 1003409061
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1477604239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 GANNETT DR STE 200",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063266",
            "telephone_number": "207-482-7800",
            "fax_number": "207-482-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BRAMHALL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023175",
            "telephone_number": "207-662-4735",
            "fax_number": "207-662-6388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "202 E 70th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100215405",
            "country_code": "US",
            "telephone_number": "212-249-1111",
            "fax_number": "212-249-1942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILBAUER",
        "first_name": "DAVID",
        "middle_name": "LELAND",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "NY",
            "license": "168702",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ME",
            "license": "MD23990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477604239",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kate Elizabeth Michie, LADC
• Nathan W Mick, MD
• Amy Elizabeth Mihill, MHRT-C
• Kaitlyn M Milazzo, LMSW-CC
• Mariah Milazzo, MD
• Bethany Miles, DO
• Caroline Miles
• Chelsea Miles, NP
• Nicholas Miles, MD
• Milestone Recovery

• Diagnostic Radiology Physician in Portland, ME
• Providers in Portland, ME by specialty
• Diagnostic Radiology Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.