Individual provider Active NPI

Ekow Mills-Robertson, MD

  • Diagnostic Radiology Physician
  • Columbia, MD
National Provider Identifier
1679865059
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
D0083415 Issued in MD
Practice address
8820 Columbia 100 Pkwy Ste 100
Columbia, MD 21045-2169
Phone
(410) 298-0454
Fax
(301) 694-2606
NPI assigned
May 4, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X D0083415 MD Primary

Addresses

Primary practice location

8820 Columbia 100 Pkwy Ste 100
Columbia, MD 21045-2169

Mailing address

10373A Reisterstown Road
Credentialing Department
Owings Mills, MD 21117-3617
Phone (443) 548-7580

Other practice location 1

20 York St
Dept of Internal Medicine
New Haven, CT 06510-3220
Phone (203) 688-4242

Other identifiers 1

IdentifierTypeStateIssuer
596702300MedicaidMD

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20191108001331 PA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 7719274943 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
University of Maryland School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2500 Bernville Rd
Reading, PA 19605-9453
Phone (610) 378-2230

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.85 of 100Reported as group
Quality
65.84
Promoting interoperability
100
Improvement activities
40
Cost
77

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0083415MDMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Milton S Hershey Medical Center Physicians Group Current Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Nov 17, 2019 Accepting new patients
The Milton S Hershey Medical Center Physician Group Diagnostic Radiology CurrentSince Dec 9, 2019 Accepting new patients
Penn State Health Medical Group, LLC Current Accepting new patients
Penn State Health Medical Group, LLC Diagnostic Radiology CurrentSince Nov 17, 2019 Accepting new patients

Locations

503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2100

423 N 21st St
Ste 202
Camp Hill, PA 17011
Phone (717) 763-9880

4520 Union Deposit Rd
Harrisburg, PA 17111
Phone (717) 652-6105

810 Sir Thomas Ct
Harrisburg, PA 17109
Phone (717) 236-5023

1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

1225 Warm Springs Ave
Huntingdon, PA 16652
Phone (814) 643-8206

1 Lemoyne Sq
Ste 201
Lemoyne, PA 17043
Phone (717) 737-4511

2500 Bernville Rd
Reading, PA 19605
Phone (610) 378-2300

611 University Dr
State College, PA 16801
Phone (814) 234-2600

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1679865059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10373A REISTERSTOWN ROAD",
            "address_2": "CREDENTIALING DEPARTMENT",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173617",
            "telephone_number": "443-548-7580",
            "fax_number": "410-356-4180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8820 COLUMBIA 100 PKWY STE 100",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452169",
            "telephone_number": "410-298-0454",
            "fax_number": "301-694-2606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 York St",
            "address_2": "Dept of Internal Medicine",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065103220",
            "country_code": "US",
            "telephone_number": "203-688-4242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLS-ROBERTSON",
        "first_name": "EKOW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D0083415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "596702300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.