Individual provider Active NPI

Mike Joseph McMillan, MD

  • Family Medicine Physician
  • Golden, CO
National Provider Identifier
1801868401
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR.0027594 Issued in CO
Practice address
1707 Cole Blvd Ste 100
Golden, CO 80401
Phone
(303) 763-4900
NPI assigned
Feb 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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 DR.0027594 CO Primary

Addresses

Primary practice location

1707 Cole Blvd Ste 100
Golden, CO 80401

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (719) 463-5600

Other practice location 1

15 W Dry Creek Cir
Littleton, CO 80120-4427
Phone (303) 952-1100

Other identifiers 3

IdentifierTypeStateIssuer
MCA71025OtherCOBLUE SHIELD
01275940MedicaidCO
P00191831OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20050125000449 CO Practitioner - Family PracticePractitioner - Internal Medicine 5294785507 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0027594COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optumcare Colorado Medical Group LLC Current Accepting new patients
Optumcare Colorado Medical Group LLC CurrentSince Mar 1, 2024 Accepting new patients
Colorado Family Clinic & Professional Recovery Inc Family Medicine CurrentSince Feb 7, 2022 Accepting new patients
Colorado Family Clinic Family Medicine Current Accepting new patients
New West Physicians Inc Family Medicine CurrentSince Jun 25, 2022 Accepting new patients
Optumcare Colorado Medical Group, LLC CurrentSince Mar 1, 2024 Accepting new patients
Mark Talmage, M.D., P.C. PastSince Jun 22, 2021 Accepting new patients
Inpatient Consultants of Colorado PC Family Medicine Past Accepting new patients
Platte Valley Emergency Physicians, PC Past Accepting new patients
Colorado Senior Provider Network PastSince Mar 16, 2020 Accepting new patients
Inpatient Consultants of Colorado, PC Family Medicine Past Accepting new patients

Locations

7950 Kipling St
Ste 101
Arvada, CO 80005
Phone (303) 425-4680

1625 Medical Center Pt
Ste 290
Colorado Springs, CO 80907
Phone (719) 635-5148

1707 Cole Blvd
Ste 100150
Golden, CO 80401

165 S Union Blvd
Ste 800
Lakewood, CO 80228
Phone (303) 988-2680

1707 Cole Blvd
Ste 150
Lakewood, CO 80401
Phone (303) 233-8295

1707 Cole Blvd
Ste 100
Lakewood, CO 80401
Phone (303) 716-8013

4990 Kipling St
Ste B56
Wheat Ridge, CO 80033
Phone (303) 456-4882

Interoperability endpoints

  • Direct secure messaging: mmcmillan119409@westdirect.optum.com

Organizations & group practices 11

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": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1801868401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "719-463-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 COLE BLVD STE 100",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "80401",
            "telephone_number": "303-763-4900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 W Dry Creek Cir",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "801204427",
            "country_code": "US",
            "telephone_number": "303-952-1100",
            "fax_number": "720-287-3183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMILLAN",
        "first_name": "MIKE",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0027594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "MCA71025",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01275940",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00191831",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden, CO

Sources for this page

Verify at the official NPI Registry.