Individual provider Active NPI

Emily Louise Militzer, M.D.

  • Radiation Oncology Physician
  • Farmington, NM
National Provider Identifier
1962431007
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
80-214 Issued in NM
Practice address
801 W Maple St
Farmington, NM 87401-5630
Phone
(505) 609-6259
NPI assigned
Jul 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 35607 MO
Radiation Oncology Physician 2085R0001X 80-214 NM Primary

Addresses

Primary practice location

801 W Maple St
Farmington, NM 87401-5630

Mailing address

PO Box 6210
Farmington, NM 87499-6210
Phone (505) 609-2258

Other practice location 1

211 Saint Francis Dr
Cape Girardeau, MO 63703-5049
Phone (573) 334-2230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, NM, WV, WI4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20090910000019 MO Practitioner - Radiation Oncology 8628006723 Reassigns benefits to 2 organizations
I20221129001940 NM Practitioner - Radiation Oncology 8628006723 Reassigns benefits to 1 organization
I20251231002716 WV Practitioner - Radiation Oncology 8628006723 Reassigns benefits to 1 organization
I20260507002084 WI Practitioner - Radiation Oncology 8628006723 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SSM Regional Health Services 165 clinicians
Shared Magnetic Resonance Imaging Facility Inc 9 clinicians

Practice addresses (Care Compare)

1241 W Stadium Blvd
SSM Health Cancer Center
Jefferson City, MO 65109-6023
Phone (573) 635-2282

3400 E Racine St
Janesville, WI 53546-2344
Phone (608) 373-8500

Hospital & facility affiliations

  • SSM Health St. Mary'S Hospital - Jefferson City Hospital, Jefferson City, MO, CCN 260011
  • SSM Health St Clare Hospital - Baraboo Hospital, Baraboo, WI, CCN 520057
  • SSM Health St Mary'S Hospital - Janesville Hospital, Janesville, WI, CCN 520208

Merit-based Incentive Payment System (MIPS)

Final score
88.07 of 100Reported as group
Quality
86.39
Promoting interoperability
100
Improvement activities
40
Cost
73.83

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35958WVMDLicensed Practical Nurse
37477CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Regional Health Services CurrentSince Jan 23, 2023 Accepting new patients
San Juan Regional Medical Center Inc Current Accepting new patients
SSM Regional Health Services Current Accepting new patients
SSM Regional Health Services CurrentSince Jan 23, 2023 Accepting new patients
San Juan Regional Medical Center Inc CurrentSince Oct 3, 2022 Accepting new patients
Poplar Bluff Hma Physician Management, LLC CurrentSince Dec 1, 2022 Accepting new patients
Cabell Huntington Hospital Inc CurrentSince Jan 1, 2026 Accepting new patients
University of Pittsburgh Cancer Institute Cancer Services Radiation Oncology CurrentSince Oct 7, 2020 Accepting new patients
Cabell Huntington Hospital Inc CurrentSince Jan 1, 2026 Accepting new patients
University of Pittsburgh Cancer Institute Cancer Services CurrentSince Oct 7, 2020 Accepting new patients
San Juan Regional Medical Center Inc CurrentSince Oct 3, 2022 Accepting new patients
Tapan Roy MD PC Radiation Oncology Past Accepting new patients
Poonam Srivastava MD PC Past Accepting new patients
Poplar Bluff Cancer & Radiation Specialist LLC Past Accepting new patients
SSM Regional Health Services Past Accepting new patients
Lewisburg Cancer Center LLC Past Accepting new patients
Usc Radiation Oncology Associates, Inc. Radiation Oncology Past Accepting new patients
Veena Srinivas LLC Radiation Oncology Past Accepting new patients

Locations

100 Saint Marys Plz
Jefferson Cty, MO 65101
Phone (573) 635-7642

1241 W Stadium Blvd
Jefferson Cty, MO 65109
Phone (573) 556-5771

621 W Pine St
Poplar Bluff, MO 63901
Phone (573) 686-4111

3098 Oak Grove Rd
Poplar Bluff, MO 63901
Phone (573) 778-2600

2620 N Westwood Blvd
Poplar Bluff, MO 63901
Phone (573) 686-4111

801 W Maple St
Farmington, NM 87401
Phone (505) 325-5011

4820 E Main St
Ste 2
Farmington, NM 87402
Phone (505) 609-6610

22681 Route 68
Clarion, PA 16214
Phone (814) 227-1221

2500 W 12th St
Erie, PA 16505
Phone (814) 838-9000

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

1400 Hal Greer Blvd
Huntington, WV 25701
Phone (304) 399-6610

Interoperability endpoints

  • Direct secure messaging: emilitzer439511@direct-ehr-ssmhc.com
  • Direct secure messaging: emilitzer16392@surescripts.sfmc.net

Organizations & group practices 30

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.

View all 30

Hospital & facility affiliations 3

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": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1962431007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6210",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874996210",
            "telephone_number": "505-609-2258",
            "fax_number": "505-609-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W MAPLE ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874015630",
            "telephone_number": "505-609-6259"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 Saint Francis Dr",
            "address_purpose": "LOCATION",
            "city": "Cape Girardeau",
            "state": "MO",
            "postal_code": "637035049",
            "country_code": "US",
            "telephone_number": "573-334-2230",
            "fax_number": "573-651-6499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILITZER",
        "first_name": "EMILY",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-01",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MO",
            "license": "35607",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NM",
            "license": "80-214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, NM

Sources for this page

Verify at the official NPI Registry.