Individual provider Active NPI

Tillet J Mills, MD

  • Cardiovascular Disease Physician
  • Saint Louis, MO
National Provider Identifier
1477634541
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MDR9J60 Issued in MO
Practice address
8515 Delmar Blvd Ste 208
Saint Louis, MO 63124-2168
Phone
(314) 692-0111
Fax
(314) 692-0126
NPI assigned
Oct 17, 2006
Last updated
Dec 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X R9J60 MO
Cardiovascular Disease Physician 207RC0000X MDR9J60 MO Primary

Addresses

Primary practice location

8515 Delmar Blvd Ste 208
Saint Louis, MO 63124-2168

Mailing address

8515 Delmar Blvd Ste 208
Saint Louis, MO 63124-2168
Phone (314) 692-0111

Other identifiers 1

IdentifierTypeStateIssuer
202785218MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20070620000578 MO Practitioner - Internal MedicinePractitioner - AnesthesiologyPractitioner - Cardiovascular Disease (Cardiology) 2163521832 Practice locations: New Melle, MO; Saint Louis, MO

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Anesthesiology, Cardiovascular Disease (Cardiology)
Education
University of North Carolina at Chapel Hill School of Medicine, 1981
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

30 W Hwy D
Suite 201a
New Melle, MO 63365-1000
Phone (314) 477-9593

8515 Delmar Blvd
Suite 208
Saint Louis, MO 63124-2168
Phone (314) 692-0111

9594 Manchester Rd
Saint Louis, MO 63119-1313
Phone (314) 274-6314

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MDR9J60MOMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Forest Park Critical Care LLC Past Accepting new patients
Mills Cardiology Cardiovascular Disease PastSince Dec 31, 1991 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1477634541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8515 DELMAR BLVD STE 208",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631242168",
            "telephone_number": "314-692-0111",
            "fax_number": "314-692-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8515 DELMAR BLVD STE 208",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631242168",
            "telephone_number": "314-692-0111",
            "fax_number": "314-692-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "TILLET",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "R9J60",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "MDR9J60",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202785218",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.