Individual provider Active NPI

Corina M Millo, M.D.

  • Nuclear Medicine Physician
  • Montgomry Village, MD
National Provider Identifier
1851362636
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine PhysicianTaxonomy code 207U00000X
License
D0063404 Issued in MD
Practice address
19650 Club House Rd
Suite 201
Montgomry Village, MD 20886-3039
Phone
(301) 948-5700
Fax
(240) 683-3612
NPI assigned
Jan 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X D0063404 MD Primary

Addresses

Primary practice location

19650 Club House Rd
Suite 201
Montgomry Village, MD 20886-3039

Mailing address

19650 Club House Rd
Suite 201
Montgomry Village, MD 20886-3039
Phone (301) 948-5700

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20060127000161 DC Practitioner - Nuclear MedicinePractitioner - General Practice 1951315027 Reassigns benefits to 1 organization
I20091202000086 MD Practitioner - Nuclear Medicine 1951315027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nuclear Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maryland Imaging Network PCGroup PAC ID 6103259304, 79 clinicians
Community Radiology Associates IncGroup PAC ID 5991692444, 64 clinicians

Practice addresses (Care Compare)

130 Hospital Rd
Suite Ll100
Prince Frederick, MD 20678-4029
Phone (410) 535-4111

20528 Boland Farm Rd
Suite 110
Germantown, MD 20876-4032
Phone (888) 601-0943

4201 Northview Dr
Suite 105
Bowie, MD 20716-2652
Phone (888) 601-0943

Merit-based Incentive Payment System (MIPS)

Final score
85.95 of 100Reported as group
Quality
75
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0063404MDMDNuclear Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Imaging Network PC CurrentSince Mar 1, 2020 Accepting new patients
Germantown Outpatient Imaging, LLC Past Accepting new patients
Shady Grove Radiological Consultants PA Past Accepting new patients
Medical Faculty Associates, Inc Past Accepting new patients

Locations

130 Hospital Rd
Ste LL100
Prnc Frederck, MD 20678
Phone (410) 535-4111

7253 Ambassador Rd
Windsor Mill, MD 21244
Phone (410) 281-9191

Organizations & group practices 5

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1851362636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19650 CLUB HOUSE RD",
            "address_2": "SUITE 201",
            "city": "MONTGOMRY VILLAGE",
            "state": "MD",
            "postal_code": "208863039",
            "telephone_number": "301-948-5700",
            "fax_number": "240-683-3612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19650 CLUB HOUSE RD",
            "address_2": "SUITE 201",
            "city": "MONTGOMRY VILLAGE",
            "state": "MD",
            "postal_code": "208863039",
            "telephone_number": "301-948-5700",
            "fax_number": "240-683-3612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLO",
        "first_name": "CORINA",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "MD",
            "license": "D0063404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomry Village, MD

Sources for this page

Verify at the official NPI Registry.