Individual provider Active NPI

Robert Carl Milam, MD

  • Family Medicine Physician
  • Tempe, AZ
National Provider Identifier
1699734160
Registry record updated Oct 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5837 Issued in AZ
Practice address
1845 E Broadway Rd
Suite 116
Tempe, AZ 85282-1633
Phone
(480) 882-7380
Fax
(480) 966-3403
NPI assigned
Mar 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5837 AZ Primary

Addresses

Primary practice location

1845 E Broadway Rd
Suite 116
Tempe, AZ 85282-1633

Mailing address

1845 E Broadway Rd
Suite 116
Tempe, AZ 85282-1633
Phone (480) 882-7380

Other identifiers 1

IdentifierTypeStateIssuer
231499MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20051107001132 AZ Practitioner - Family Practice 1850319930 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory Current Accepting new patients
Honorhealth Medical Group, LLC Family Medicine CurrentSince Oct 1, 2020 Accepting new patients
Honorhealth Ambulatory CurrentSince Dec 16, 2013 Accepting new patients
Honorhealth Ambulatory Family Medicine CurrentSince Dec 16, 2013 Accepting new patients
Honorhealth Medical Group, LLC Family Medicine CurrentSince Oct 1, 2020 Accepting new patients
Honorhealth Medical Group, LLC Current Accepting new patients

Locations

6220 W Bell Rd
Ste 100
Glendale, AZ 85308
Phone (602) 547-7200

10230 W Happy Valley Pkwy
Ste 100C
Peoria, AZ 85383
Phone (623) 561-3030

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

18404 N Tatum Blvd
Ste 101
Phoenix, AZ 85032
Phone (602) 992-1900

1610 W Glendale Ave
#128
Phoenix, AZ 85021
Phone (623) 780-1999

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

1845 E Broadway Rd
Ste 116
Tempe, AZ 85282
Phone (480) 499-0102

1761 E Warner Rd
Ste 2
Tempe, AZ 85284
Phone (480) 882-7390

Organizations & group practices 6

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": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413244800000",
    "number": "1699734160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 E BROADWAY RD",
            "address_2": "SUITE 116",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821633",
            "telephone_number": "480-882-7380",
            "fax_number": "480-966-3403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 E BROADWAY RD",
            "address_2": "SUITE 116",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821633",
            "telephone_number": "480-882-7380",
            "fax_number": "480-966-3403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILAM",
        "first_name": "ROBERT",
        "middle_name": "CARL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2014-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "5837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "231499",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.