Individual provider Active NPI

Albert F. Milford III, D.O.

  • Surgery Physician
  • Dyer, IN
National Provider Identifier
1942354162
Registry record updated Dec 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
02000962A Issued in IN
Practice address
24 Joliet St
Suite 101
Dyer, IN 46311-1705
Phone
(219) 865-2141
Fax
(219) 864-2644
NPI assigned
Jan 23, 2007
Last updated
Dec 13, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 02000962A IN Primary

Addresses

Primary practice location

24 Joliet St
Suite 101
Dyer, IN 46311-1705

Mailing address

6 Butterfield Cir
Flossmoor, IL 60422-2148
Phone (847) 587-6112

Other practice location 1

5454 Hohman Ave
Hammond, IN 46320-1931
Phone (219) 932-2300

Other identifiers 2

IdentifierTypeStateIssuer
036054094MedicaidIL
100005230MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20101027000656 IN Practitioner - General Surgery 4385838044 Practice locations: Hammond, IN; Dyer, IN

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1972
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

24 Joliet St
Suite 101
Dyer, IN 46311-1705
Phone (219) 743-7374

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue504
Removal of skin lesions69
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates of Northern Indiana, Inc Past Accepting new patients
Franciscan Physician Network Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dmilford4980@direct.franciscanalliance.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576195200000",
    "number": "1942354162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BUTTERFIELD CIR",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604222148",
            "telephone_number": "847-587-6112",
            "fax_number": "847-587-6113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 JOLIET ST",
            "address_2": "SUITE 101",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111705",
            "telephone_number": "219-865-2141",
            "fax_number": "219-864-2644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5454 Hohman Ave",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "IN",
            "postal_code": "463201931",
            "country_code": "US",
            "telephone_number": "219-932-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILFORD III",
        "first_name": "ALBERT",
        "middle_name": "F.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "02000962A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036054094",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100005230",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dyer, IN

Sources for this page

Verify at the official NPI Registry.