Organization Active NPI

Gary a. Milkovich, D.O., Inc.

  • Allergy & Immunology Physician
  • Cleveland, OH
National Provider Identifier
1932382926
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
GARY A. MILKOVICH, D.O., INC.
Practice address
6044 Broadview Rd
Cleveland, OH 44134-3106
Phone
(216) 563-1003
Fax
(216) 563-1016
NPI assigned
Dec 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Authorized official

Name
Gary Allan Milkovich, D.O.NPI 1457392292
Title
President
Phone
(216) 563-1003

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X Primary

Addresses

Primary practice location

6044 Broadview Rd
Cleveland, OH 44134-3106

Mailing address

6044 Broadview Rd
Cleveland, OH 44134-3106
Phone (216) 563-1003

Other practice location 1

9088 Superior Ave
Streetsboro, OH 44241-5699
Phone (330) 626-2963

Other identifiers 2

IdentifierTypeStateIssuer
0930827MedicaidOH
1457392292OtherOHINDIVIDUAL NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050923000013 OH Part B Supplier - Clinic/Group Practice 6709810328 Receives reassigned benefits from 1 practitioner
Practice locations: Parma, OH; Streetsboro, OH

National Provider Directory

National Provider Directory

Locations

6688 Ridge Rd
Ste 1135
Parma, OH 44129

6688 Ridge Rd
Parma, OH 44129
Phone (440) 885-1000

6044 Broadview Rd
Parma, OH 44134
Phone (216) 563-1003

34050 Solon Rd
Ste 104
Solon, OH 44139
Phone (440) 248-6050

9088 Superior Ave
Ste 103
Streetsboro, OH 44241
Phone (330) 626-2963

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741046400000",
    "number": "1932382926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6044 BROADVIEW RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441343106",
            "telephone_number": "216-563-1003",
            "fax_number": "216-563-1016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6044 BROADVIEW RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441343106",
            "telephone_number": "216-563-1003",
            "fax_number": "216-563-1016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9088 Superior Ave",
            "address_purpose": "LOCATION",
            "city": "Streetsboro",
            "state": "OH",
            "postal_code": "442415699",
            "country_code": "US",
            "telephone_number": "330-626-2963",
            "fax_number": "216-563-1016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GARY A. MILKOVICH, D.O., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A",
        "authorized_official_last_name": "MILKOVICH",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-563-1003",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0930827",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1457392292",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.