Individual provider Active NPI

Jessica Milliman, DPM

  • Foot & Ankle Surgery Podiatrist
  • Beachwood, OH
National Provider Identifier
1871868687
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
TBD Issued in OH
Practice address
3909 Orange PL Ste 2500
Beachwood, OH 44122-4481
Phone
(440) 998-0011
Fax
(216) 201-7630
NPI assigned
Mar 12, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X TBD OH Primary

Addresses

Primary practice location

3909 Orange PL Ste 2500
Beachwood, OH 44122-4481

Mailing address

3315 N Ridge Rd E
Ashtabula, OH 44004-4300
Phone (440) 998-0011

Other names 1

  • Jessica Johnson Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jessicamilliman@uhps.allscripsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151001001381 OH Practitioner - Podiatry 6608184239 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2131 Lake Ave
Suite 1
Ashtabula, OH 44004-3466
Phone (440) 205-5870

Merit-based Incentive Payment System (MIPS)

Final score
91.15 of 100Reported as apm
Quality
82.31
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue105
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TBDOHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Current Accepting new patients
University Primary Care Practices Inc CurrentSince Aug 25, 2015 Accepting new patients
University Primary Care Practices Inc CurrentSince Aug 25, 2015 Accepting new patients

Locations

2131 Lake Ave
Ste 1
Ashtabula, OH 44004
Phone (440) 639-6550

3909 Orange Pl
Ste 2500
Beachwood, OH 44122
Phone (216) 831-5080

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

27100 Chardon Rd
Richmond Hts, OH 44143
Phone (440) 585-6000

Interoperability endpoints

  • Direct secure messaging: jmilliman37842@ehrdirect.uhhospitals.org

Organizations & group practices 3

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": "1331510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1871868687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 N RIDGE RD E",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440044300",
            "telephone_number": "440-998-0011",
            "fax_number": "216-201-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3909 ORANGE PL STE 2500",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224481",
            "telephone_number": "440-998-0011",
            "fax_number": "216-201-7630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLIMAN",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-12",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "TBD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessicamilliman@uhps.allscripsdirect.net",
            "affiliation": "N",
            "address_1": "3909 Orange Pl",
            "city": "Beachwood",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441224478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "JOHNSON",
            "credential": "DPM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.