NPIMap

Organization Active NPI

Mills Medical Practices, LLC

  • Primary Care Clinic/Center
  • Beachwood, OH
National Provider Identifier
1477701969
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
35083334 Issued in OH
Legal business name
MILLS MEDICAL PRACTICES, LLC
Practice address
3733 Park East Dr Ste 220
Beachwood, OH 44122-4337
Phone
(800) 807-6555
Fax
(855) 316-2999
NPI assigned
Sep 9, 2008
Last updated
Nov 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Authorized official

Name
Allison L. Brown
Title
Secretary
Phone
(502) 394-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 35083334 OH Primary

Addresses

Primary practice location

3733 Park East Dr Ste 220
Beachwood, OH 44122-4337

Mailing address

805 N Whittington Pkwy Ste 200
Louisville, KY 40222-7102
Phone (800) 807-6555

Other identifiers 1

IdentifierTypeStateIssuer
3072482MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090108000186 OH Part B Supplier - Clinic/Group Practice 4981767597 Receives reassigned benefits from 82 practitioners
Practice locations: Beachwood, OH

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

215 W Garfield Rd
Ste 210
Aurora, OH 44202
Phone (330) 995-8888

3733 Park East Dr
Ste 220
Beachwood, OH 44122
Phone (440) 368-6868

Practitioners & affiliated clinicians

Practitioners 91

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 91

NPI Registry JSON

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762819200000",
    "number": "1477701969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 N WHITTINGTON PKWY STE 200",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402227102",
            "telephone_number": "800-807-6555",
            "fax_number": "855-316-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3733 PARK EAST DR STE 220",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224337",
            "telephone_number": "800-807-6555",
            "fax_number": "855-316-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLS MEDICAL PRACTICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-09",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "502-394-2100"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OH",
            "license": "35083334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3072482",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.