Milan Diwakar Mulye, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036.134888 Issued in IL

Practice address

19550 Governors Hwy Ste 2500
Flossmoor, IL 60422-2145

Phone

(708) 799-7600

Fax

(708) 799-8848

NPI assigned

Mar 29, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Milan D Mulye Professional name

Medicare fee-for-service enrollment

Enrolled in WA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mmulye361136@direct.ochin.org
• Direct secure messaging: mmulye1042602@wm.providencedirect.org
• Direct secure messaging: mmulye198702@uchospital.direct-ci.com

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.

• Virginia Mason Medical Center

  • General Acute Care Hospital
  • Seattle, WA
  • NPI 1801851258
  Medicare reassignment NPD
• Virginia Mason Medical Center

  • Internal Medicine Physician
  • Lynnwood, WA
  • NPI 1568510774
  NPD
• Virginia Mason Medical Center

  • Interventional Cardiology Physician
  • Tacoma, WA
  • NPI 1821711953
  NPD
• The University of Chicagp

  • Children's Hospital
  • Chicago, IL
  • NPI 1073855623
  NPD (past)
• Seattle King Co Dept of Public Health

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
  • NPI 1780876284
  NPD (past)

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1720377922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5841 S MARYLAND AVE # MC6082",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371443",
            "telephone_number": "773-834-0497",
            "fax_number": "773-834-5964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19550 GOVERNORS HWY STE 2500",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604222145",
            "telephone_number": "708-799-7600",
            "fax_number": "708-799-8848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULYE",
        "first_name": "MILAN",
        "middle_name": "DIWAKAR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-29",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD60548135",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036.134888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MILAN",
            "last_name": "MULYE",
            "middle_name": "D",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jessica Moody
• Breiana Moore
• Griscillia Moore, LCPC
• Most Healthcare Inc
• Laura Mueller, RD, LDN
• Patricia Jean Murtaugh, CRNA
• Saja Mustafa Ali, MD
• Jaime Myler
• Sameh Nabelsi, M.D.
• Max Edward Nayden, P.T.

• Pediatrics Physician in Flossmoor, IL
• Providers in Flossmoor, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.