Marko Adam Miljkovic, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD431006 Issued in PA

Practice address

1440 Deerfield Dr
Hummelstown, PA 17036-8908

Phone

(717) 566-6670

NPI assigned

May 23, 2007

Last updated

Aug 19, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA, CA, TX3 enrollments

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 3

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: marko.miljkovicmd.p1@direct.gpha.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Greater Philadelphia Health Action Inc.

  dba GPHA Woodland Ave. Behavioral Healthcare

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
  • NPI 1205140902
  Medicare reassignment NPD
• Pinnacle Health Medical Services

  • Family Medicine Physician
  • Harrisburg, PA
  • NPI 1932143427
  Medicare reassignment NPD
• Pinnacle Health Regional Physicians

  • Internal Medicine Physician
  • Harrisburg, PA
  • NPI 1013441690

  Family Medicine

  Medicare reassignment NPD
• Beaver Medical Group P C

  dba Optum

  • Family Medicine Physician
  • Redlands, CA
  • NPI 1649503319
  Medicare reassignment NPD
• Taos Picuris Health Center

  dba Taos Picuris Health Ctr

  • Clinic/Center
  • Taos, NM
  • NPI 1548372071

  TX

  Medicare reassignment NPD
• Greater Philadelphia Health Action, Inc.

  dba GPHA Hunting Park Health Center

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
  • NPI 1063466068

  Family Medicine

  NPD
• Greater Philadelphia Health Action, Inc.

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
  • NPI 1275151607
  NPD
• Pinnacle Health Medical Services

  dba UPMC Gastroenterology Associates of Central PA

  • Gastroenterology Physician
  • Mechanicsburg, PA
  • NPI 1295552073
  NPD
• Pinnacle Health Medical Services

  dba UPMC Obstetrics & Gynecology Specialists-Harrisburg

  • Obstetrics & Gynecology Physician
  • Harrisburg, PA
  • NPI 1932532397
  NPD
• Pinnacle Health Regional Physicians

  dba Sallavanti and Cotter Family Medicine

  • Family Medicine Physician
  • Lancaster, PA
  • NPI 1215457411
  NPD
• Beaver Medical Group P C

  • Physical Therapist
  • Redlands, CA
  • NPI 1427090281
  NPD
• Greater Philadelphia Health Action Inc.

  dba GPHA Southeast Health Center

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
  • NPI 1417902362

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408406400000",
    "number": "1821208414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 DEERFIELD DR",
            "city": "HUMMELSTOWN",
            "state": "PA",
            "postal_code": "170368908",
            "telephone_number": "717-566-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 DEERFIELD DR",
            "city": "HUMMELSTOWN",
            "state": "PA",
            "postal_code": "170368908",
            "telephone_number": "717-566-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILJKOVIC",
        "first_name": "MARKO",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2014-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A98317",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD431006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102199520 0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Case Tyree Melton, LAMFT
• Francis Joseph Rosales Mendoza
• Merle J Crawford, Ms Otr/L, LLC
• Melissa Ann Meyer, DO
• Stacy Mierzwicki, MOTR/L
• Heather Miller Epler, APRN
• Maria T Moran, PH.D.
• Jill D. Morrow-Gorton, MD
• Richard James Moses III, DMD
• Susan Elizabeth Moses, PSY.D.

• Family Medicine Physician in Hummelstown, PA
• Providers in Hummelstown, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; 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.