Individual provider Active NPI

Michael Paul Milligan, MD

  • Dermatology Physician
  • Rancho Mirage, CA
National Provider Identifier
1790776045
Registry record updated Mar 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
G46979 Issued in CA
Practice address
35200 Bob Hope Dr
Rancho Mirage, CA 92270-1748
Phone
(760) 328-8884
Fax
(760) 202-3931
NPI assigned
Nov 3, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X G46979 CA Primary

Addresses

Primary practice location

35200 Bob Hope Dr
Rancho Mirage, CA 92270-1748

Mailing address

35200 Bob Hope Dr
Rancho Mirage, CA 92270-1748
Phone (760) 328-8884

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20110616000277 CA Practitioner - Dermatology 4587578067 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Georgetown University School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael P Milligan MD IncGroup PAC ID 4688588155, 3 clinicians

Practice addresses (Care Compare)

35200 Bob Hope Dr
Rancho Mirage, CA 92270-1748
Phone (760) 328-8884

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision30
Removal of tissue1-10
Removal of skin lesions3875
Removal of skin cancer268
Removal or shaving of skin growth1-10
Skin biopsy374

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G46979CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michael P Milligan MD Inc Dermatology CurrentSince Jun 30, 1985 Accepting new patients
Eisenhower Medical Center Past Accepting new patients

Locations

35200 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 328-8884

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519862400000",
    "number": "1790776045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35200 BOB HOPE DR",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701748",
            "telephone_number": "760-328-8884",
            "fax_number": "760-202-3931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35200 BOB HOPE DR",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701748",
            "telephone_number": "760-328-8884",
            "fax_number": "760-202-3931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLIGAN",
        "first_name": "MICHAEL",
        "middle_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2018-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G46979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

Verify at the official NPI Registry.