Individual provider Active NPI

Pamela Millan, MD, MSPH

  • Pediatric Nephrology Physician
  • Miami, FL
National Provider Identifier
1912438151
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nephrology PhysicianTaxonomy code 2080P0210X
License
145859 Issued in FL
Practice address
3100 SW 62ND Ave Apt 806
Miami, FL 33155-3009
Phone
(954) 213-4548
NPI assigned
Mar 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nephrology Physician 2080P0210X 145859 FL Primary
Pediatrics Physician 208000000X ME145859 FL
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

3100 SW 62ND Ave Apt 806
Miami, FL 33155-3009

Mailing address

1611 NW 12TH Ave Ofc 224
Miami, FL 33136-1005
Phone (954) 213-4548

Other practice location 1

1611 NW 12th Ave
Miami, FL 33136-1005
Phone (305) 585-6042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20230613000670 FL Practitioner - Pediatric Medicine 9032576657 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Broward Hospital DistrictGroup PAC ID 8123927373, 659 clinicians

Practice addresses (Care Compare)

1131 N 35TH Ave
Hollywood, FL 33021-5403

3501 Johnson St
Hollywood, FL 33021-5421
Phone (954) 265-7750

4651 Sheridan St
Suite 150
Hollywood, FL 33021-3443
Phone (954) 265-6331

Hospital & facility affiliations

  • Memorial Regional Hospital Hospital, Hollywood, FL, CCN 100038

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
145859FLMDPediatric Nephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami Current Accepting new patients
South Broward Hospital District Pediatric Nephrology CurrentSince Oct 26, 2023 Accepting new patients
University of Miami Pediatric Nephrology CurrentSince Jun 1, 2023 Accepting new patients
University of Miami Pediatrics CurrentSince Jun 1, 2023 Accepting new patients
South Broward Hospital District CurrentSince Oct 26, 2023 Accepting new patients
South Broward Hospital District Pediatrics Past Accepting new patients

Locations

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

1131 N 35th Ave
#210
Hollywood, FL 33021

1150 N 35th Ave
Ste 490
Hollywood, FL 33021
Phone (954) 265-3437

1131 N 35th Ave
Ste 210
Hollywood, FL 33021
Phone (954) 265-9344

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

1611 NW 12th Ave
Fl 5
Miami, FL 33136
Phone (305) 243-4211

1611 NW 12th Ave
Ofc 224
Miami, FL 33136

2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581

1971 SW 172nd Ave
Ste 2500
Miramar, FL 33029
Phone (954) 265-6333

4651 Sheridan St
Ste 150
Pembroke Park, FL 33021
Phone (954) 265-6331

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1912438151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 NW 12TH AVE OFC 224",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361005",
            "telephone_number": "954-213-4548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 SW 62ND AVE APT 806",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553009",
            "telephone_number": "954-213-4548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1611 NW 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331361005",
            "country_code": "US",
            "telephone_number": "305-585-6042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLAN",
        "first_name": "PAMELA",
        "name_prefix": "Dr.",
        "credential": "MD, MSPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-21",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0210X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": "FL",
            "license": "145859",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME145859",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.