Active NPI
Corina M Millo, M.D.
- Nuclear Medicine Physician
- Montgomry Village, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Medicine Physician
- License
- D0063404
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060127000161 | DC | Practitioner - Nuclear Medicine | 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
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 100
- Quality
- 75
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0063404 | MD | MD | Nuclear Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maryland Imaging Network PC | Current | 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.
-
- Diagnostic Radiology Physician
- Silver Spring, MD
- NPI 1396707782
DC
-
- Diagnostic Ultrasound Physician
- Germantown, MD
- NPI 1528012119
-
- Diagnostic Radiology Physician
- Germantown, MD
- NPI 1639122039
-
- Anesthesiology Physician
- Washington, DC
- NPI 1417990581
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.