Active NPI
Milan Miloslav Hrkal III, M.D.
- Pediatrics Physician
- Queen Creek, AZ
National Provider Identifier
1487675153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 36321
- Practice address
- 21321 E.Ocotillo Rd.
Ste.110
Queen Creek, AZ 85242 - Phone
- (480) 677-4545
- Fax
- (480) 677-4356
- NPI assigned
- Jul 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 36321 | AZ | Primary |
| Pediatrics Physician | 208000000X | 18670 | SC |
Addresses
Primary practice location
21321 E.Ocotillo Rd.
Ste.110
Queen Creek, AZ 85242
Mailing address
21321 E Ocotillo Rd
Ste 110
Queen Creek, AZ 85242-5996
Phone (480) 677-4545
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 186701 | Medicaid | SC | |
| 204815 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36321 | AZ | MD | Pediatrics Physician |
| 18670 | SC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JJ Pediatrics, P.L.L.C. | Pediatrics | Past | Accepting new patients |
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.
-
- Pediatrics Physician
- Queen Creek, AZ
- NPI 1437377439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248134400000",
"number": "1487675153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21321 E OCOTILLO RD",
"address_2": "STE 110",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "852425996",
"telephone_number": "480-677-4545",
"fax_number": "480-677-4356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21321 E.OCOTILLO RD.",
"address_2": "STE.110",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "85242",
"telephone_number": "480-677-4545",
"fax_number": "480-677-4356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HRKAL",
"first_name": "MILAN",
"middle_name": "MILOSLAV",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2009-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AZ",
"license": "36321",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "SC",
"license": "18670",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "186701",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "204815",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Queen Creek, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.