Individual provider Active NPI

Wael H Milyani, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Smyrna, GA
National Provider Identifier
1497089874
Registry record updated Aug 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
2015-01982 Issued in NC
Practice address
2000 Lake Park Dr SE
Smyrna, GA 30080
Phone
(706) 737-4575
Fax
(706) 731-5289
NPI assigned
Oct 1, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology (Pathology) Physician 207ZD0900X 17362 NV
Hematology (Pathology) Physician 207ZH0000X 17362 NV
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 2015-01982 NC Primary

Addresses

Primary practice location

2000 Lake Park Dr SE
Smyrna, GA 30080

Mailing address

2000 Lake Park Dr SE
Smyrna, GA 30080-7611
Phone (706) 737-4575

Other practice location 1

101 Stadium Dr
Morgantown, WV 26506-7911
Phone (304) 293-3212

Other practice location 2

7455 W Washington Ave Ste 301
Las Vegas, NV 89128-4340
Phone (877) 562-5227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, AZ, CA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20170925003453 NV Practitioner - Pathology 5092023937 Reassigns benefits to 2 organizations
I20190304000471 AZ Practitioner - Pathology 5092023937 Reassigns benefits to 2 organizations
I20210127001992 CA Practitioner - Pathology 5092023937 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2615 Box Canyon Dr
Las Vegas, NV 89128-0450
Phone (800) 991-6448

631 W Ave Q
Suite B
Palmdale, CA 93551-3892
Phone (661) 947-5236

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
97.81 of 100Reported as group
Quality
97.1
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17362NVMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
La Laser Center, PC, a Professional Medical Corporation Dermatopathology CurrentSince Nov 1, 2022 Accepting new patients
W Milyani MD PLLC CurrentSince Jan 1, 2023 Accepting new patients
Path MD Inc CurrentSince Feb 26, 2024 Accepting new patients
Podpath, Inc Dermatopathology CurrentSince Sep 29, 2019 Accepting new patients
Daniel Taheri MD PC Dermatopathology CurrentSince May 10, 2022 Accepting new patients
Daniel Taheri MD Inc Dermatopathology CurrentSince Oct 15, 2022 Accepting new patients
La Laser Center PC, a Professional Medical Corporation PastSince Mar 1, 2020 Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Specialized University Pathologists PastSince Dec 1, 2022 Accepting new patients
La Laser Center PC, a Professional Medical Corporation PastSince Oct 30, 2022 Accepting new patients
Douglas a. Thomas, MD PastSince Aug 1, 2022 Accepting new patients
Jack H. Austin, Jr., MD, PC Past Accepting new patients

Locations (25 of 52)

2580 Highway 95
Ste 224
Bullhead City, AZ 86442
Phone (928) 704-7011

6145 W Chandler Blvd
Ste 3
Chandler, AZ 85226
Phone (480) 454-8744

6145 W Chandler Blvd
Ste 2
Chandler, AZ 85226
Phone (480) 454-8744

1330 N Rim Dr
Ste A
Flagstaff, AZ 86001
Phone (888) 993-3761

2730 S Val Vista Dr
Ste 169
Gilbert, AZ 85295
Phone (480) 981-8339

700 N Estrella Pkwy
Ste 210
Goodyear, AZ 85338
Phone (623) 265-6267

3939 N Stockton Hill Rd
Ste A
Kingman, AZ 86409
Phone (661) 425-0295

1840 Mesquite Ave
Ste G102
Lake Havasu City, AZ 86403
Phone (928) 351-1850

1951 Mesquite Ave
Ste F
Lk Havasu Cty, AZ 86403
Phone (928) 855-4077

1840 Mesquite Ave
Lk Havasu Cty, AZ 86403
Phone (928) 719-8400

21300 N John Wayne Pkwy
Ste 120
Maricopa, AZ 85139
Phone (520) 413-1000

4140 E Baseline Rd
Ste 110
Mesa, AZ 85206
Phone (480) 539-0777

13613 W Camino del Sol
Ste 1
Sun City West, AZ 85375
Phone (480) 757-9854

310 S Halcyon Rd
Ste 106
Arroyo Grande, CA 93420
Phone (805) 474-5807

300 Old River Rd
Ste 120
Bakersfield, CA 93311
Phone (661) 322-2700

4805 Centennial Plaza Way
Bakersfield, CA 93312
Phone (661) 322-2700

5600 California Ave
Ste 101
Bakersfield, CA 93309
Phone (661) 322-2700

8605 Camino Media
Ste 300
Bakersfield, CA 93311
Phone (661) 322-2700

186 N Main St
Bishop, CA 93514
Phone (760) 873-8718

621 W Line St
Ste 105
Bishop, CA 93514
Phone (760) 873-8781

931 Buena Vista St
Ste 200A
Duarte, CA 91010
Phone (818) 321-2745

6181 N Thesta St
Ste 104
Fresno, CA 93710
Phone (559) 418-5000

400 N Irwin St
Hanford, CA 93230
Phone (559) 584-2700

20984 Bake Pkwy
Ste 106B
Lake Forest, CA 92630

8158 Beverly Blvd
Los Angeles, CA 90048
Phone (310) 489-5615

Organizations & group practices 12

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": "1254355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535068800000",
    "number": "1497089874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 LAKE PARK DR SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300807611",
            "telephone_number": "706-737-4575",
            "fax_number": "706-731-5289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 LAKE PARK DR SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "30080",
            "telephone_number": "706-737-4575",
            "fax_number": "706-731-5289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Stadium Dr",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265067911",
            "country_code": "US",
            "telephone_number": "304-293-3212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7455 W Washington Ave Ste 301",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891284340",
            "country_code": "US",
            "telephone_number": "877-562-5227",
            "fax_number": "702-938-9954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILYANI",
        "first_name": "WAEL",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-01",
        "last_updated": "2018-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "NV",
            "license": "17362",
            "primary": false
        },
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "NV",
            "license": "17362",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NC",
            "license": "2015-01982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

Verify at the official NPI Registry.