Active NPI
Milind Velankar, MD
- Anatomic Pathology & Clinical Pathology Physician
- Portland, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- MD27735
- Practice address
- 22 Bramhall St
Portland, ME 04102-3134 - Phone
- (207) 662-0111
- Fax
- (207) 482-7898
- NPI assigned
- Jan 17, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology (Pathology) Physician | 207ZH0000X | 36088923 | IL | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 25119 | NH | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | MD27735 | ME | Primary |
Addresses
Primary practice location
22 Bramhall St
Portland, ME 04102-3134
Mailing address
324 Gannett Dr Ste 200
South Portland, ME 04106-3266
Phone (072) 482-7800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720067812 | Medicaid | ME | |
| 36088923 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
77 N Airlite St
Elgin, IL 60123-4912
Phone 84769532005375
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36088923 | IL | MD | Hematology (Pathology) Physician |
| 25119 | NH | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elgin Laboratory Physicians, LTD. | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Loyola University Medical Center | Current | Accepting new patients |
Locations
77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407
1919 S Highland Ave
Ste 210
Lombard, IL 60148
2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400
2160 S 1st Ave
#101
Maywood, IL 60153
Phone (708) 216-8785
Interoperability endpoints
- mvelankar60682@direct.luhs.org
Organizations & group practices 3
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Dekalb, IL
- NPI 1184756256
-
- Anatomic Pathology & Clinical Pathology Physician
- Portland, ME
- NPI 1386757607
-
- General Acute Care Hospital
- Maywood, IL
- NPI 1376521575
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dekalb, IL
- NPI 1669534517
-
- Critical Access Hospital
- Sandwich, IL
- NPI 1184705931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707177600000",
"number": "1720067812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 GANNETT DR STE 200",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041063266",
"telephone_number": "072-482-7800",
"fax_number": "072-482-7898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 BRAMHALL ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041023134",
"telephone_number": "207-662-0111",
"fax_number": "207-482-7898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELANKAR",
"first_name": "MILIND",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-17",
"last_updated": "2024-02-06",
"certification_date": "2024-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "207ZH0000X",
"taxonomy_group": "",
"desc": "Pathology, Hematology",
"state": "IL",
"license": "36088923",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NH",
"license": "25119",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "ME",
"license": "MD27735",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1720067812",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "36088923",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.