Active NPI
Steven Michael Milius, D.O.
- Pediatrics Physician
- Gilbert, AZ
National Provider Identifier
1639353303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- R879
- Practice address
- 4915 E Baseline Rd
Ste 119
Gilbert, AZ 85234-2965 - Phone
- (480) 832-0480
- Fax
- (480) 832-0490
- NPI assigned
- Dec 18, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | R879 | AZ | Primary |
Addresses
Primary practice location
4915 E Baseline Rd
Ste 119
Gilbert, AZ 85234-2965
Mailing address
4915 E Baseline Rd
Ste 119
Gilbert, AZ 85234-2965
Phone (480) 832-0480
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 320302 | Medicaid | AZ | |
| R879 | Other | AZ | TRAINING PERMIT |
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R879 | AZ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All-Star Pediatrics, PLLC | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/3484/brand/1/csg/1/fhir/r4
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
- Gilbert, AZ
- NPI 1073801056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423008000000",
"number": "1639353303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4915 E BASELINE RD",
"address_2": "STE 119",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852342965",
"telephone_number": "480-832-0480",
"fax_number": "480-832-0490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4915 E BASELINE RD",
"address_2": "STE 119",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852342965",
"telephone_number": "480-832-0480",
"fax_number": "480-832-0490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILIUS",
"first_name": "STEVEN",
"middle_name": "MICHAEL",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-18",
"last_updated": "2015-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AZ",
"license": "R879",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "320302",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRAINING PERMIT",
"identifier": "R879",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.