Surendra Kumar Milak, M.D., F.A.C.E.P.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

DOO15448 Issued in MD

Practice address

200 N Union Ave
Havre de Grace, MD 21078-2907

Phone

(410) 939-3343

NPI assigned

Jun 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MD

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

Specialty

General PracticeAlso: Emergency Medicine

Education

Other, 1962

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369180800000",
    "number": "1518907641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N UNION AVE",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210782907",
            "telephone_number": "410-939-3343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N UNION AVE",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210782907",
            "telephone_number": "410-939-3343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILAK",
        "first_name": "SURENDRA",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D., F.A.C.E.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2013-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "MD",
            "license": "DOO15448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "184666",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030051901",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• MD Immediate Care LLC
• Sarah Meredith
• Sandra P Mertz, RN, IBCLC
• Michael S. Presti D.P.M., P.a.
• Gianni B Migliaccio, PA-C
• Gloria Miller, MS, CCC-SLP
• Katrina E Millsape, NURSE PRACTITIONER
• Jasper Mislak
• Kamrudin Mithani, M.D.
• Monarch Behavioral Therapy Bii, LLC

• Adult Medicine Physician in Havre de Grace, MD
• Providers in Havre de Grace, MD by specialty
• Adult Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; 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.