Individual provider Active NPI

Gary Alan Milles, M.D.

  • Internal Medicine Physician
  • Elkridge, MD
National Provider Identifier
1922076405
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0026621 Issued in MD
Practice address
8186 Lark Brown Rd
Suite 203
Elkridge, MD 21075-6420
Phone
(410) 799-8860
Fax
(410) 616-8668
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0026621 MD Primary

Addresses

Primary practice location

8186 Lark Brown Rd
Suite 203
Elkridge, MD 21075-6420

Mailing address

8186 Lark Brown Rd
Suite 203
Elkridge, MD 21075-6420
Phone (410) 799-8860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20050707000066 MD Practitioner - Internal Medicine 2264478411

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0026621MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients
Charter Internal Medicine, LLC Internal Medicine PastSince Jan 1, 1997 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23291/brand/1/csg/1/fhir/r4
  • Direct secure messaging: gary.milles.1@13710.direct.athenahealth.com

Organizations & group practices 2

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196035200000",
    "number": "1922076405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8186 LARK BROWN RD",
            "address_2": "SUITE 203",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756420",
            "telephone_number": "410-799-8860",
            "fax_number": "410-616-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8186 LARK BROWN RD",
            "address_2": "SUITE 203",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756420",
            "telephone_number": "410-799-8860",
            "fax_number": "410-616-8668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLES",
        "first_name": "GARY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2007-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0026621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkridge, MD

Sources for this page

Verify at the official NPI Registry.