Melissa Jane Mills, M.D

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

04-20763 Issued in KS

Practice address

7405 Renner Rd
Ku Medwest
Shawnee, KS 66217-9414

Phone

(913) 588-8400

Fax

(913) 588-8529

NPI assigned

Sep 10, 2010

Last updated

Mar 12, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Saint Luke's Physician Partners, Inc.

  • Rheumatology Physician
  • Kansas City, MO
  • NPI 1326360546

  Geriatric Medicine

  NPD (past)
• Saint Luke's Physician Partners, Inc.

  • Geriatric Medicine (Internal Medicine) Physician
  • Kansas City, MO
  • NPI 1336461276
  NPD (past)

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

{
    "created_epoch": "1284076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363046400000",
    "number": "1699082776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7405 RENNER RD",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662179414",
            "telephone_number": "913-588-8400",
            "fax_number": "913-588-8529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7405 RENNER RD",
            "address_2": "KU MEDWEST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662179414",
            "telephone_number": "913-588-8400",
            "fax_number": "913-588-8529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "MELISSA",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-10",
        "last_updated": "2013-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MO",
            "license": "R5F40",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "KS",
            "license": "04-20763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100203230C",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KANSAS CITY",
            "identifier": "12737090",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooklyn Millage
• Millann LLC
• Donald Miller Jr., M.D.
• Brian S. Mills, OT
• Julie Diane Mills, NP
• Tamara L. Mills
• Patricia Ann Miser, OTR/L
• Missouri Hearing Associate LLC (Amplifon Hearing Aid Centers)
• Kelley Mitchell, CDH
• Madeline Mitchell, DPT

• Geriatric Medicine (Internal Medicine) Physician in Shawnee, KS
• Providers in Shawnee, KS by specialty
• Geriatric Medicine (Internal Medicine) Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.