Individual provider Active NPI

Lee D Milligan, MD

  • Emergency Medicine Physician
  • Monroeville, PA
National Provider Identifier
1942377213
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD486672 Issued in PA
Practice address
4905 William Penn Hwy
Monroeville, PA 15146-3757
Phone
(814) 255-1963
NPI assigned
Nov 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 71411 AZ
Emergency Medicine Physician 207P00000X MD486672 PA Primary

Addresses

Primary practice location

4905 William Penn Hwy
Monroeville, PA 15146-3757

Mailing address

PO Box 5657
Johnstown, PA 15904-5657
Phone (814) 255-1963

Other identifiers 1

IdentifierTypeStateIssuer
287619MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20241022003578 PA Practitioner - Emergency Medicine 0648368597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
George Washington University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Icare MedicalGroup PAC ID 7315118536, 7 clinicians

Practice addresses (Care Compare)

4905 William Penn Hwy
Monroeville, PA 15146-3757
Phone (724) 519-8350

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71411AZMDEmergency Medicine Physician
MD486672PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icare Medical CurrentSince Sep 15, 2024 Accepting new patients
Medford Medical Clinic, LLP Past Accepting new patients

Locations

48 Short Dr
Blairsville, PA 15717
Phone (724) 235-7793

100 Susan Dr
Johnstown, PA 15905
Phone (814) 255-1963

4905 William Penn Hwy
Monroeville, PA 15146
Phone (724) 327-5665

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1942377213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5657",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159045657",
            "telephone_number": "814-255-1963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4905 WILLIAM PENN HWY",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151463757",
            "telephone_number": "814-255-1963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLIGAN",
        "first_name": "LEE",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "71411",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD486672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "287619",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroeville, PA

Sources for this page

Verify at the official NPI Registry.